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Obstructive jaundice in Kawasaki's disease.

C Luzzatto1, M Chiesura-Corona, L Zancan

  • 1Department of Paediatric Surgery, University of Padua, Italy.

Zeitschrift Fur Kinderchirurgie : Organ Der Deutschen, Der Schweizerischen Und Der Osterreichischen Gesellschaft Fur Kinderchirurgie = Surgery in Infancy and Childhood
|February 1, 1990
PubMed
Summary

Kawasaki disease in a child caused obstructive jaundice. Percutaneous transhepatic biliary drainage (PTBD) successfully treated the condition, avoiding surgery.

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Area of Science:

  • Pediatric Gastroenterology
  • Hepatology
  • Pediatric Cardiology

Background:

  • Kawasaki disease (KD) is an acute febrile illness that can affect multiple organ systems, including the biliary tract.
  • Biliary complications in KD, though rare, can lead to significant morbidity.

Observation:

  • A 10-year-old child presented with obstructive jaundice, intrahepatic biliary duct dilatation, and gallbladder hydrops.
  • Diagnostic imaging, including echography, CT-scan, and cholangiography, confirmed the biliary obstruction.

Findings:

  • Percutaneous transhepatic biliary drainage (PTBD) provided immediate symptomatic relief.
  • Progressive resolution of jaundice was observed following PTBD.
  • This minimally invasive approach successfully managed the biliary complications of Kawasaki disease.

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Implications:

  • PTBD offers an effective alternative to surgical intervention for biliary complications in Kawasaki disease.
  • Early diagnosis and prompt intervention are crucial for favorable outcomes in pediatric patients with KD-related biliary issues.
  • Highlights the importance of considering KD in the differential diagnosis of pediatric obstructive jaundice with biliary abnormalities.