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Biliary atresia (BA)
Imaging findings
Definition
hypoplastic, atretic, or fibrosed
extrahepatic biliary tree
Presentation
persistent neonatal jaundice
starting with day 1
with increased conjugated bilirubin
Best imaging tools
abdominal ultrasound – suggests diagnosis
hepatobiliary scan – confirms diagnosis
MRCP – not reliable
failure to see complete biliary tree in 25-40%
of normal < 3 months age
ERCP – rarely performed
shows no biliary enteric channel
Ultrasound
absent or small and irregular gall bladder
absent extrahepatic duct
triangular echogenic cord anterior to portal vein
fibrotic remnant of common bile duct typically anterior to portal bifurcation
 all strongly suggest BA
Ultrasound
look for associated anomalies
preduodenal portal vein
malrotation
asplenia
polysplenia
Hepatobiliary scan with DISIDA or BRIDA
premedication with phenobarbital 5 days induces liver enzymes
 increases accuracy
gall bladder seen in 25% does not exclude diagnosis
Hepatobiliary scan with DISIDA or BRIDA
lack of excretion into intestines on 24h images
 confirms BA or other cause of obstruction
excretion into intestines = BA excluded

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