Refractory cholangitis after Kasai's operation caused by candidiasis: a case report

A case of biliary atresia treated by Kasai portoenterostomy was re-explored a year later for refractory cholangitis, which failed to respond to antibiotic treatment. Unexpectedly, the granulation tissue obstructing the porta hepatis contained pseudohyphae of Candida albicans. After curettage and Amphotericin B local irrigation, the patient became afebrile and anicteric.