Presentation
Newborn with onset of pale (acholic) stools, normal urine. Workup shows cholestasis and aminotranferases increase. Suspected biliary atresia.
Patient Data
Age: 17 days
Gender: Male
From the case:
Bile plug syndrome
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Echogenic debris in the dilated gallbladder, cystic duct and distal intra-pancreatic common bile duct. Mild central intrahepatic bile duct dilatation. No other notable anomaly on exam.
From the case:
Bile plug syndrome
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Annotated selected ultrasound images showing sludge in the dilated gallbladder, cystic duct and distal intra-pancreatic common bile duct.
Case Discussion
Ultrasound findings in this newborn are in keeping with bile plug syndrome. This entity has a much better prognosis than the commoner biliary atresia which should be ruled out in newborns with cholestasis.
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