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Updated: Jul 4, 2025
Laparoscopic Common Bile Duct Exploration in Patients with a Previous History of Biliary Tract Surgery
Published on: February 10, 2023
External biliary drainage before choledochal cyst treatment in a very low birth weight infant
1Hsinchu Municipal MacKay Children's Hospital, Hsinchu, Taiwan.
Insights
Infantile choledochal cysts (CC) in very low birth weight (VLBW) infants are rare. External biliary drainage followed by delayed definitive surgery is a feasible management option for these complex cases.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Neonatology
Background:
- Congenital choledochal cysts (CC) are rare biliary tract dilatations.
- Infantile CC (IFCC) in very low birth weight (VLBW) preterm infants presents unique management challenges.
- Early diagnosis and intervention are crucial for improving outcomes in VLBW infants with IFCC.
Abstract:
Choledochal cysts (CC) are congenital biliary tract dilatations. Infantile CC (IFCC) in very low birth weight (VLBW) infants is rare. This is a case of a huge IFCC presented in VLBW preterm infant managed with external biliary drainage prior to definitive treatment. Electrolyte imbalance, poor weight gain, and infections were managed during external biliary drainage maintenance. Choledochal cyst excision and Roux-en-Y hepaticoenterostomy were successfully performed when the infant weighed 4.9 kg 5 months later. Delayed definitive treatment with external biliary drainage could be a feasible alternative for managing CC in low-birth-weight infants.
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