Percutaneous management of bile-plug syndrome: a case report

J Pediatr Surg. 2011 Dec;46(12):e37-41. doi: 10.1016/j.jpedsurg.2011.09.053.

Abstract

Bile-plug syndrome is defined as an obstruction of the common bile duct by bile sludge in full-term infants. It is a correctable cause of obstructive jaundice in infants and is generally treated surgically. Here, we present a case of a 5-month-old infant with bile-plug syndrome, which was treated by percutaneous biliary interventions. To the best of our knowledge, percutaneous treatment of bile-plug syndrome is reported for the first time in an infant. This minimal invasive treatment modality may be a useful alternative to surgery in infants with bile-plug syndrome.

Publication types

  • Case Reports

MeSH terms

  • Bile*
  • Catheterization / methods*
  • Cefotaxime / therapeutic use
  • Cholangiography / instrumentation
  • Cholangiography / methods
  • Cholangitis / complications
  • Cholangitis / diagnostic imaging
  • Cholangitis / drug therapy
  • Cholangitis / surgery*
  • Cholecystostomy / methods*
  • Combined Modality Therapy
  • Common Bile Duct Diseases / complications
  • Common Bile Duct Diseases / diagnostic imaging
  • Common Bile Duct Diseases / surgery
  • Common Bile Duct Diseases / therapy*
  • Cytomegalovirus Infections / complications*
  • Cytomegalovirus Infections / drug therapy
  • Drainage / instrumentation
  • Drainage / methods*
  • Fibrosis
  • Fluoroscopy
  • Ganciclovir / therapeutic use
  • Hepatitis, Viral, Human / complications*
  • Hepatitis, Viral, Human / drug therapy
  • Hepatomegaly / diagnostic imaging
  • Hepatomegaly / etiology
  • Humans
  • Infant
  • Jaundice, Obstructive / etiology*
  • Male
  • Radiography, Interventional
  • Ultrasonography
  • Ursodeoxycholic Acid / therapeutic use*

Substances

  • Ursodeoxycholic Acid
  • Cefotaxime
  • Ganciclovir