Biliary atresia with splenic malformation with associated ductal plate malformation and duodenal atresia: A case report.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
  • Additional Information
    • Source:
      Publisher: Medknow Country of Publication: India NLM ID: 7605904 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 0974-5130 (Electronic) Linking ISSN: 03774929 NLM ISO Abbreviation: Indian J Pathol Microbiol Subsets: MEDLINE
    • Publication Information:
      Publication: Mumbai : Medknow
      Original Publication: Chandigarh : Indian Association of Pathologists & Microbiologists.
    • Subject Terms:
    • Abstract:
      Abstract: Biliary atresia (BA) is the most common cause of the obstructive type of neonatal cholestasis that requires prompt surgical intervention. About 10% of neonates with BA have other congenital anomalies, of which splenic malformation (BASM) is a well-known distinct sub-group. There is sparse literature on the association of duodenal atresia and ductal plate malformation (DPM) in patients of BASM. We describe a BASM associated with DPM and duodenal atresia in a 35-day-old infant, who succumbed at 40 days, before portoenterostomy could be performed. Duodenal atresia can be one of the associated malformations associated with BASM and ductal plate abnormalities. In our case, the child did not survive.
      (Copyright © 2023 Indian Journal of Pathology and Microbiology.)
    • References:
      Mukhopadhyay SG, Roy P, Chatterjee U, Datta C, Banerjee M, Banerjee S, et al. A histopathological study of liver and biliary remnants in the long-term survivors (>10 years) of cases of biliary atresia. Indian J Pathol Microbiol 2014;57:380–5. doi:10.4103/0377-4929.138722. (PMID: 10.4103/0377-4929.138722)
      Roy P, Chatterjee U, Ganguli M, Banerjee S, Chatterjee SK, Basu AK. A histopathological study of liver and biliary remnants with clinical outcome in cases of extrahepatic biliary atresia. Indian J Pathol Microbiol 2010;53:101–5.
      Xu X, Dou R, Zhao S, Zhao J, Gou Q, Wang L, et al. Outcomes of biliary atresia splenic malformation (BASM) syndrome following Kasai operation:A systematic review and meta-analysis. World J Pediatr Surg 2022;5:e000346. doi:10.1136/wjps-2021-000346. (PMID: 10.1136/wjps-2021-000346)
      Kahn E. Biliary Atresia Revisited. Pediatr Dev Pathol 2004;7:109–24.
      Davenport M, Savage M, Mowat AP, Howard ER. Biliary atresia splenic malformation syndrome:An etiologic and prognostic subgroup. Surgery 1993;113:662–8.
      Gupta L, Bhatnagar V. A study of associated congenital anomalies with biliary atresia. J Indian Assoc Pediatr Surg 2016;21:10–3.
      Awasthi A, Das A, Srinivasan R, Joshi K. Morphological and immunohistochemical analysis of ductal plate malformation:correlation with fetal liver. Histopathology 2004;45:260–7.
      Low Y, Vijayan V, Tan CE. The prognostic value of ductal plate malformation and other histologic parameters in biliary atresia:An immunohistochemical study. J Pediatrics 2001;139:320–2.
      Pacheco MC, Campbell KM, Bove KE. Ductal plate malformation-like arrays in early explants after a Kasai procedure are independent of splenic malformation complex (heterotaxy). Pediatr Dev Pathol 2009;12:355–60.
      Hess A, Zino C, Camps J. A Rare Dual Diagnosis of Duodenal and Biliary Atresia in a Premature Infant. Cureus 2021;13:e18218.
      Jiang JH, Tsai YW, Lee SY, Chuang JH. Biliary atresia associated with small-intestine atresia:A condition of high morbidity and mortality. Asian J Surg 2022;45:1897.
      Guttman OR, Roberts EA, Schreiber RA, Barker CC, Ng VL. Canadian Pediatric Hepatology Research Group. Biliary atresia with associated structural malformations in Canadian infants. Liver Int 2011;31:1485–93.
      Karrer FM, Lilly JR. Correction of biliary atresia and jejunal atresia in an infant. J Pediatr Surg 1993;28:1082–3.
      Asabe K, Yukitake K, Mori T, Mitsudome A, Shirakusa T. Biliary atresia associated with jejunal atresia and a review of the literature in Japan. Asian J Surg 2005;28:154–7.
    • Subject Terms:
      Familial duodenal atresia
    • Publication Date:
      Date Created: 20240223 Date Completed: 20241206 Latest Revision: 20250103
    • Publication Date:
      20250103
    • Accession Number:
      10.4103/ijpm.ijpm_182_23
    • Accession Number:
      38394407