Document Detail


Therapeutic and diagnostic implications of acquired choledochal obstruction in infancy: spontaneous resolution in three infants.
MedLine Citation:
PMID:  2262852     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Three infants aged 2 days to 11 weeks with conjugated hyperbilirubinenemia, had sonographically documented dilated common hepatic bile ducts, and echogenic material in the gallbladder. A 2-day-old infant, born to a diabetic mother, had none of the classic predisposing factors for cholelithiasis, and two infants had received total parenteral nutrition (TPN) and TPN plus furosemide. The first infant after receiving 4 1/2 weeks of TPN and furosemide, developed common duct obstruction with increasing bilirubin and hepatic duct caliber over a 12-day period. An operation was scheduled; however, on the following day the bilirubin dropped abruptly and surgery was canceled. The experience with this infant encouraged conservative management in two subsequent infants with similar clinical and sonographic findings. Spontaneous resolution occurred 9 days after the onset of common duct obstruction in one infant and after 16 days in the other.
Authors:
L O Holgersen; C Stolar; W E Berdon; C Hilfer; J S Levy
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  25     ISSN:  0022-3468     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  1990 Oct 
Date Detail:
Created Date:  1991-02-01     Completed Date:  1991-02-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1027-9     Citation Subset:  IM    
Affiliation:
Division of Pediatric Surgery, St Luke's-Roosevelt Hospital Center, New York, NY.
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MeSH Terms
Descriptor/Qualifier:
Cholelithiasis / ultrasonography
Female
Gallstones / physiopathology*,  ultrasonography
Humans
Infant
Infant, Newborn
Male
Remission, Spontaneous

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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