RT Book, Section
A1 Eng, Katharine
A1 Alkhouri, Naim
A2 Usatine, Richard P.
A2 Sabella, Camille
A2 Smith, Mindy Ann
A2 Mayeaux, E.J.
A2 Chumley, Heidi S.
A2 Appachi, Elumalai
SR Print(0)
ID 1114872397
T1 Neonatal Cholestasis
T2 The Color Atlas of Pediatrics
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-176701-9
LK accesspediatrics.mhmedical.com/content.aspx?aid=1114872397
RD 2024/04/20
AB A  4-week-old  full-term  female  is  seen  for  routine  follow-up  with  her  pediatrician.  Her  mother  reports  that  she  has  been  taking  breast  milk  well  with  good  weight  gain.  She  has  no  specific  concerns;  however  does  report  she  noticed  lighter  colored  stools  recently.  On  physical  exam,  jaundice  and  scleral  icterus  are  noted,  along  with  dark  urine  in  her  diaper.  The  pediatrician  orders  labs  drawn  urgently  and  calls  the  pediatric  gastroenterologist  for  immediate  assistance.  The  work-up  is  expedited  and  she  is  found  to  have  biliary  atresia  (Figures  61-1  and  61-2).  The  Kasai  portoenterostomy  procedure  is  performed  to  treat  the  cholestatic  jaundice.  This  surgery  involves  exposing  the  porta  hepatis  and  attaching  part  of  the  small  intestine  to  the  exposed  liver  surface  to  allow  bile  to  drain  out  of  the  liver  into  the  intestines.