AI Article Synopsis

  • A 3-year and 8-month-old girl was diagnosed with a congenital stricture in her common hepatic duct, resulting in liver enlargement and elevated liver enzymes, though she did not show signs of jaundice.
  • Ultrasonography didn't provide clear results, but a percutaneous cholangiography revealed a blockage at the junction of the hepatic ducts.
  • A surgical procedure called Roux-en-Y anastomosis was performed, connecting the jejunum to the common hepatic ducts, which successfully relieved the blockage and improved her liver condition.

Article Abstract

A 3-yr 8-mo-old female was diagnosed as having a congenital stricture of the common hepatic duct. She demonstrated hepatomegaly with marked elevations of serum transaminases, alkaline phosphatase, and bile acids without clinical jaundice or hyperbilirubinemia. Liver biopsy suggested extrahepatic obstruction. Ultrasonography was nondiagnostic, but percutaneous cholangiography demonstrated blockage at the bifurcation of the hepatic ducts. A Roux-en-Y anastomosis of the jejunum to the common hepatic ducts relieved the obstruction and ameliorated clinical evidence of liver disease.

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