A transverse sonographic image of a 3-week-old infant shows 2 distinct GBs (arrows).
2. Biliary atresia: sonography
Biliary atresia: sonography.
There are no sonographically visible bile ducts or gallbladder in this jaundiced 2-month-old infant.
3. Biliary atresia: cholangiography
Biliary atresia: cholangiography.
A percutaneous cholecystogram of a jaundiced 1-month-old infant shows filling of a small GB and a thin common bile duct, but no opacification of the common hepatic duct or intrahepatic ducts.
4. Biliary atresia: scintigraphy
Biliary atresia: scintigraphy.
A. A time-activity curve for regions of interest over the heart and liver show prompt hepatic uptake of injected radiopharmaceutical and prompt clearance from the cardiac blood pool. B. There is no bowel activity on an image obtained at 24 hours.
5. Diagnostic cholangiography for infantile jaundice
Diagnostic cholangiography for infantile jaundice.
A. Sonography of this 4-month-old infant shows a collapsed GB (arrows) despite appropriate NPO preparation. B. There is no visible hepatic excretion of radiopharmaceutical into the bowel on anterior and posterior delayed biliary scintigraphy images. C. Percutaneous cholangiography confirms patency of the extrahepatic and intrahepatic ducts, thereby excluding biliary atresia.
Type III CC.
There a smooth round filling defect in the duodenum at the expected location of the ampulla.
Type I CC.
A longitudinal sonographic image of a 2-day-old asymptomatic infant shows a large cyst (arrows) extending from the inferior aspect of the liver. A normal GB is located anterior to the lesion.
Type I CC.
A. Sonography of a 16-month-old child shows a cyst (arrow) in the porta hepatis region. The GB is normal. B, C. Contrast-enhanced CT confirms the presence of a cyst (arrow) that extends from the porta hepatis into the head of the pancreas. There is no separately visible common bile duct.
Log In to View More
If you don't have a subscription, please view our individual subscription options below to find out how you can gain access to this content.
Want remote access to your institution's subscription?
Sign in to your MyAccess profile while you are actively authenticated on this site via your institution (you will be able to verify this by looking at the top right corner of the screen - if you see your institution's name, you are authenticated). Once logged in to your MyAccess profile, you will be able to access your institution's subscription for 90 days from any location. You must be logged in while authenticated at least once every 90 days to maintain this remote access.
If your institution subscribes to this resource, and you don't have a MyAccess profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus.
AccessPediatrics Full Site: One-Year Subscription
Connect to the full suite of AccessPediatrics content and resources including 20+ textbooks such as Rudolph’s Pediatrics and The Pediatric Practice series, high-quality procedural videos, images, and animations, interactive board review, an integrated pediatric drug database, and more.
Pay Per View: Timed Access to all of AccessPediatrics
24 Hour Subscription $34.95
48 Hour Subscription $54.95
Pop-up div Successfully Displayed
This div only appears when the trigger link is hovered over.
Otherwise it is hidden from view.