Single Procedure Saline Lavage for Treatment of Inspissated Bile

Inspissated bile syndrome is a rare cause of cholestatic jaundice in infancy, occurring due to obstruction of the biliary ducts and gallbladder by biliary sludge. Traditional methods of treatment include surgical drainage or cholecystostomy drain placement. Both can be associated with complications...

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Main Authors: Nafisa Sideeka, Raja Shaikh, Gulraiz Chaudry
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Radiology
Online Access:http://dx.doi.org/10.1155/2020/8816599
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author Nafisa Sideeka
Raja Shaikh
Gulraiz Chaudry
author_facet Nafisa Sideeka
Raja Shaikh
Gulraiz Chaudry
author_sort Nafisa Sideeka
collection DOAJ
description Inspissated bile syndrome is a rare cause of cholestatic jaundice in infancy, occurring due to obstruction of the biliary ducts and gallbladder by biliary sludge. Traditional methods of treatment include surgical drainage or cholecystostomy drain placement. Both can be associated with complications and prolonged admission. We present 2 cases treated with a single percutaneous needle puncture of the gallbladder followed by saline lavage. Two neonates presented with cholestatic jaundice and sonographic evidence of biliary sludge and dilation of the common bile duct. Single sonographic-guided needle puncture of the gallbladder was followed by irrigation with saline. Clearing of the biliary sludge was confirmed by sonography and cholecystocholangiography. There was resolution of the cholestatic jaundice, with no complications or repeat procedures.
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spelling doaj-art-144e812ee38b470ba7ec7dbc8b1af35d2025-08-20T03:54:33ZengWileyCase Reports in Radiology2090-68622090-68702020-01-01202010.1155/2020/88165998816599Single Procedure Saline Lavage for Treatment of Inspissated BileNafisa Sideeka0Raja Shaikh1Gulraiz Chaudry2Division of Vascular and Interventional Radiology, Boston Children’s Hospital and Harvard Medical School, 300 Longwood Ave, Boston, MA 02115, USADivision of Vascular and Interventional Radiology, Boston Children’s Hospital and Harvard Medical School, 300 Longwood Ave, Boston, MA 02115, USADivision of Vascular and Interventional Radiology, Boston Children’s Hospital and Harvard Medical School, 300 Longwood Ave, Boston, MA 02115, USAInspissated bile syndrome is a rare cause of cholestatic jaundice in infancy, occurring due to obstruction of the biliary ducts and gallbladder by biliary sludge. Traditional methods of treatment include surgical drainage or cholecystostomy drain placement. Both can be associated with complications and prolonged admission. We present 2 cases treated with a single percutaneous needle puncture of the gallbladder followed by saline lavage. Two neonates presented with cholestatic jaundice and sonographic evidence of biliary sludge and dilation of the common bile duct. Single sonographic-guided needle puncture of the gallbladder was followed by irrigation with saline. Clearing of the biliary sludge was confirmed by sonography and cholecystocholangiography. There was resolution of the cholestatic jaundice, with no complications or repeat procedures.http://dx.doi.org/10.1155/2020/8816599
spellingShingle Nafisa Sideeka
Raja Shaikh
Gulraiz Chaudry
Single Procedure Saline Lavage for Treatment of Inspissated Bile
Case Reports in Radiology
title Single Procedure Saline Lavage for Treatment of Inspissated Bile
title_full Single Procedure Saline Lavage for Treatment of Inspissated Bile
title_fullStr Single Procedure Saline Lavage for Treatment of Inspissated Bile
title_full_unstemmed Single Procedure Saline Lavage for Treatment of Inspissated Bile
title_short Single Procedure Saline Lavage for Treatment of Inspissated Bile
title_sort single procedure saline lavage for treatment of inspissated bile
url http://dx.doi.org/10.1155/2020/8816599
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