Llorens Carlos,  Sindhi Rakesh,  Park James,  Crowley John

Final Pr. ID: Poster #: EDU-059

Pediatric Interventional Radiology biliary procedures are mainly performed on patients with liver transplant. Percutaneous transhepatic cholangiogram (PTC) is very useful for diagnosis of post-surgical development of strictures while at the same time allowing access for therapeutic measures such as biliary dilatation and diversion. Although post-surgical anatomy and non-dilated bile ducts may provide a challenge, biliary procedures have a high rate of success. The purpose of this exhibit is to review the biliary anatomy, discuss the available biliary procedures, including step-by-step explanation of the more common procedures and discussion of goal and outcomes of these procedures. Read More

Authors:  Llorens Carlos , Sindhi Rakesh , Park James , Crowley John

Keywords:  Cholangiogram, PTC

Weitz Daniel,  Torres Manuel,  Zandieh Arash

Final Pr. ID: Poster #: CR-005

Biliary atresia is an inflammatory cholangiopathy of the neonatal period that may lead to future fibrosis and obliteration of both intra and extrahepatic biliary ducts. It is an uncommon disease that can be further classified by morphology. The rare, atypical Type IIA variant results in absence of the common hepatic duct, but patent cystic and common bile duct, occasionally accompanied by a hilar cyst (so-called “cystic biliary atresia”) or otherwise normal-appearing gallbladder.

In this educational case exhibit, we present a premature, former 31-week newborn with neonatal hyperbilirubinemia who was ultimately diagnosed with a type IIA biliary atresia and treated with the Kasai procedure. Abdominal ultrasound showed a contracted gallbladder, and subsequent HIDA scans showed no radiotracer excretion into the common bile duct or small bowel. Surgery and GI were consulted, and the patient underwent the Kasai procedure. The intraoperative cholangiogram confirmed type IIA biliary atresia and postoperatively there was a general downward trend of transaminases and direct bilirubin. In our discussion, we will be reviewing this patient’s uncommon morphology of biliary atresia, key radiologic findings and surgical- pathologic correlation, along with subsequent care and management for this condition. Read More

Authors:  Weitz Daniel , Torres Manuel , Zandieh Arash

Keywords:  Kasai, Hyperbilirubinemia, cholangiogram