Common bile duct obstruction due to an intraluminal mass of candidiasis in a previously healthy child.

Abstract:

:A 3 6/12-year-old previously healthy girl had intermittent attacks of abdominal pain following a blunt abdominal trauma. At admission to the hospital, she had jaundice and hepatomegaly. Results of laboratory tests indicated an obstructive pattern, and ultrasonography revealed an intraluminal mass in the distal common bile duct. At surgery, the mass was confirmed as the cause of obstruction, and it was removed. Microscopic analysis indicated that the amorphous material was fungi infested. Growth cultures from bile and feces yielded Candida albicans. Postoperative treatment with T-tube drainage and antimycotic drugs led to an uneventful recovery. Clinical, biochemical, and ultrasonographic follow-up have shown no evidence of recurrence. A possible cause and effect relationship between the trauma and the development of biliary obstruction is suggested.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Carstensen H,Nilsson KO,Nettelblad SC,Cederlund CG,Hildell J

subject

Has Abstract

pub_date

1986-06-01 00:00:00

pages

858-61

issue

6

eissn

0031-4005

issn

1098-4275

journal_volume

77

pub_type

杂志文章
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