Formosan Journal of Surgery

CASE REPORT
Year
: 2020  |  Volume : 53  |  Issue : 3  |  Page : 109--112

Bile duct lavage and cholecystectomy: A single-stage operation for inspissated bile syndrome


Rahul Gupta1, Arun Kumar Gupta1, Ramesh Tanger1, Anu Bhandari2, Raj Kumar Gupta3, Ashok Kumar Gupta3 
1 Department of Paediatric Surgery, SMS Medical College, Jaipur, Rajasthan, India
2 Department of Radiodiagnosis, SMS Medical College, Jaipur, Rajasthan, India
3 Department of Paediatrics, SMS Medical College, Jaipur, Rajasthan, India

Correspondence Address:
Dr. Rahul Gupta
Department of Paediatric Surgery, SMS Medical College, Jaipur, Rajasthan
India

A 90-day-old infant with inspissated bile syndrome unresponsive to medical management is presented. The infant was born premature, low birth weight (1600 g) at 28 weeks, became jaundice few days after birth. He received neonatal intensive care therapy for 4 weeks. Investigations on admission revealed conjugated hyperbilirubinemia (total bilirubin – 8.26 mg/dl). Abdominal ultrasound and magnetic resonance cholangiopancreatography were suggestive of biliary atresia with nonvisualization of the gallbladder and common bile duct (CBD). Intraoperatively, cholecystotomy confirmed the presence of bile; placement of infant feeding tube in the infundibulum with saline irrigation confirmed CBD obstruction. After multiple gentle attempts with saline lavage, distal clearance was achieved, suggested by duodenal filling up with saline and by nasogastric aspiration. The patient passed colored (bile containing) stools with bile plugs on the 5th postoperative day. Bilirubin values returned to normal, and the outcome was favorable.


How to cite this article:
Gupta R, Gupta AK, Tanger R, Bhandari A, Gupta RK, Gupta AK. Bile duct lavage and cholecystectomy: A single-stage operation for inspissated bile syndrome.Formos J Surg 2020;53:109-112


How to cite this URL:
Gupta R, Gupta AK, Tanger R, Bhandari A, Gupta RK, Gupta AK. Bile duct lavage and cholecystectomy: A single-stage operation for inspissated bile syndrome. Formos J Surg [serial online] 2020 [cited 2020 Aug 9 ];53:109-112
Available from: http://www.e-fjs.org/article.asp?issn=1682-606X;year=2020;volume=53;issue=3;spage=109;epage=112;aulast=Gupta;type=0