Clinical and pathological challenges in the diagnosis of late-onset biliary atresia: four case studies

AUTOR(ES)

Fontenele, J.P.U., Schenka, A.A., Hessel, G., Jarry, V.M., Escanhoela, C.A.F.

FONTE

Braz J Med Biol Res

DATA DE PUBLICAÇÃO

02/02/2016

RESUMO

Biliary atresia (BA) is classically described at the neonatal age. However, rare cases of BA in older infants have also been reported. We report four cases of late-onset BA in infants older than 4 weeks (3 males, 1 female), and describe the diagnostic and management difficulties. One of the cases had a late-onset (29 weeks) presentation with a successful surgical procedure. We highlight the importance of this unusual differential diagnosis in infants with cholestatic syndrome, who may benefit from Kasai surgery, regardless of age.

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