Following Kasai portoenterostomy, a series of modified Kasai's procedures to increase bile drainage, irrigate the hepatic hilum and to prevent ascending cholangitis were subsequently attempted.
This finding is in similar to study done by Carvalho et al (7) who noted ascending cholangitis in 40-60% patient.
At 6th month (3rd visit), MRCP was performed in to look for the patency of bilioenteric anastomosis in patients where abdominal US showed biliary dilatation or there were more than one attack of ascending cholangitis.
In our set-up the incidence of ascending cholangitis is higher compared to 10% reported by a local study.
Effectiveness of an intussusceptive antireflux valve to prevent ascending cholangitis
after hepatic portojejunostomy in biliary atresia.
A 66-year-old male initially presented in 2002 with ascending cholangitis and was found to have intrahepatic biliary duct dilatation consistent with Caroli's disease.
Liver magnetic resonance imaging was consistent with ascending cholangitis.
We believe our present case is the fifth case report of ADPKD and Caroli's disease associated with increased morbidity, including intra-operative splenectomy and postoperative ascending cholangitis.
Her picture confused me, so I consulted a colleague and decided to start broad antibiotic coverage for ascending cholangitis
Proper case management is very important as prolonged biliary duct obstruction can lead to the development of ascending cholangitis
or later on secondary biliary cirrhosis.