Cholangitis in a child due to biliary tract anomalies


A 29-month-old child with persistent cholangitis and steatorrhea complicating congenital hepatic fibrosis underwent radiographic evaluation of the biliary tree. Communicating intrahepatic cavernous ectasias were demonstrated by percutaneous transhepatic cholangiography, a procedure deemed safe in children of this age group. Unlike most patients with cholangitis, he had documented steatorrhea and growth failure which resolved following successful treatment with trimethoprim-sulfamethoxazole. Bacteriologic diagnosis was made by direct culture of liver tissue combined with duodenal intubation.

DOI: 10.1007/BF01312734

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@article{Kocoshis1980CholangitisIA, title={Cholangitis in a child due to biliary tract anomalies}, author={Dr. Samuel A. Kocoshis and Caroline A. Riely and Morton I. Burrell and Joyce D. Gryboski}, journal={Digestive Diseases and Sciences}, year={1980}, volume={25}, pages={59-65} }