ABSTRACT
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.
Subject(s)
Humans , Male , Female , Infant , Biliary Atresia/diagnosis , Late Onset Disorders/diagnosis , Liver/pathology , Biliary Atresia/pathology , Biliary Atresia/surgery , Biopsy , Diagnosis, Differential , Hepatic Artery/pathology , Late Onset Disorders/pathology , Late Onset Disorders/surgeryABSTRACT
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.
Subject(s)
Biliary Atresia/diagnosis , Late Onset Disorders/diagnosis , Liver/pathology , Biliary Atresia/pathology , Biliary Atresia/surgery , Biopsy , Diagnosis, Differential , Female , Hepatic Artery/pathology , Humans , Infant , Late Onset Disorders/pathology , Late Onset Disorders/surgery , MaleSubject(s)
Breast Feeding , Postpartum Period/physiology , Puerperal Disorders , Female , Humans , Milk, Human/chemistry , PregnancyABSTRACT
The authors investigate the changing management based on a score including the prognostic items in a primiparous woman with a breach presentation. The study involved two series: one from 1970 to 1975, including 185 breach position primiparous women before the score was established, and the other, dating from 1982 to 1988, consisting of 145 breach position primiparous women after this score came into use. The use of the score has tripled the number of cesareans but reduced neonatal morbidity. In contrast, the authors note a slight increase in maternal morbidity, related to the increased cesarean rate.
