Abstract
Background: Congenital biliary web of the extra-hepatic biliary tree is becoming exceedingly rare cause of obstructive jaundice in children. Case Presentation: We report a case of 5-month-old male baby who presented with acholic stools and persistent jaundice since birth. Magnetic resonance cholangiopancreatography (MRCP) showed contracted gall bladder and focal narrowing at mid portion of the common bile duct (CBD) with proximal dilatation of biliary channels. On exploration, a complete web was found just proximal to the confluence of cystic duct and common hepatic duct causing complete obstruction of biliary tree. A Roux-en-Y hepatico-jejunostomy was done. Postoperative recovery was uneventful. Conclusion: We conclude that congenital biliary web is a rare entity and should be considered in the differential diagnosis of biliary atresia.
Highlights
Biliary webs are extremely rare, with approximately less than 50 cases have been reported until now in the literature.[1]
We conclude that congenital biliary web is a rare entity and should be considered in the differential diagnosis of biliary atresia
Provisional diagnosis of common bile duct (CBD) stricture with the differential diagnosis of biliary atresia was made and patient was referred to Pediatric Surgery department
Summary
Biliary webs are extremely rare, with approximately less than 50 cases have been reported until now in the literature.[1]. Conclusion: We conclude that congenital biliary web is a rare entity and should be considered in the differential diagnosis of biliary atresia. Biliary webs are extremely rare, with approximately less than 50 cases have been reported until now in the literature.[1] The presence of congenital variations of the extra-hepatic biliary tree is estimated to be approximately 10%.[2] The congenital causes of obstructive jaundice include choledochal cysts, biliary atresia, biliary web, CBD stricture, and extra-hepatic biliary ducts compression by vascular abnormalities.[1,3,4]
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