CBCLIPS Episode #38: 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 Scenario

  • 18 months post successful Kasai, a child develops recurrent cholangitis that responds well to antibiotics.
  • Bilirubin is normal between episodes, but they recur every few weeks.
  • US, MRCP, and percutaneous cholangiogram are shown below.

How would you manage him?

 

 

 

 


2. Treatment Strategy

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