Skip to Main Content
Chapter 41

++

1. GB duplication

++
Figure 41-1

GB duplication.

A transverse sonographic image of a 3-week-old infant shows 2 distinct GBs (arrows).

Graphic Jump Location
++

2. Biliary atresia: sonography

++
Figure 41-2

Biliary atresia: sonography.

There are no sonographically visible bile ducts or gallbladder in this jaundiced 2-month-old infant.

Graphic Jump Location
++

3. Biliary atresia: cholangiography

++
Figure 41-3

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.

Graphic Jump Location
++

4. Biliary atresia: scintigraphy

++
Figure 41-4

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.

Graphic Jump Location Graphic Jump Location
++

5. Diagnostic cholangiography for infantile jaundice

++
Figure 41-5

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.

Graphic Jump Location
++

6. Type III CC

++
Figure 41-6

Type III CC.

There a smooth round filling defect in the duodenum at the expected location of the ampulla.

Graphic Jump Location
++

7. Type I CC

++
Figure 41-7

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.

Graphic Jump Location
++

8. Type I CC

++
Figure 41-8

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.

Graphic Jump Location...

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.

Ok

About MyAccess

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.

Subscription Options

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.

$595 USD
Buy Now

Pay Per View: Timed Access to all of AccessPediatrics

24 Hour Subscription $34.95

Buy Now

48 Hour Subscription $54.95

Buy Now

Pop-up div Successfully Displayed

This div only appears when the trigger link is hovered over. Otherwise it is hidden from view.