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Case Reports
. 1980 Jan;25(1):59-65.
doi: 10.1007/BF01312734.

Cholangitis in a child due to biliary tract anomalies

S A Kocoshis, C A Riely, M Burrell, J D Gryboski
Case Reports

Cholangitis in a child due to biliary tract anomalies

S A Kocoshis et al. Dig Dis Sci. 1980 Jan.

Abstract

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.

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