CBCLIPS Episode #38: A child with recurrent cholangitis after a Kasai Procedure

#CBCLIPS Creator and Editor: Sherif Emil, M.D., C.M.; McGill University Health Centre, Montreal, Canada.
Dr. Emil is a Senior Editor of The Hendren Project and Editor-in-Chief of the Abdominal Wall Defects Section.


1. Case Presentation

  • 18 months post successful Kasai performed at 67 days of age, a child develops recurrent cholangitis that responds well to antibiotics.
  • Bilirubin is normal between episodes, but they recur every few weeks.
  • Ultrasound, magnetic resonance cholangio pancreatogram (MRCP), and percutaneous cholangiogram are shown below. 

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How would you manage him?  See Case Commentary Below


2. Case Commentary

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