Syndromic variants of biliary atresia

Biliary atresia (BA) may be characterized as an obliterative cholangiopathy presenting in the newborn period with conjugated jaundice, pale stools, and dark urine. It is usually thought of as an isolated anomaly in otherwise normal infants. However, in a minority, other anomalies may be present, som...

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Main Author: Mark Davenport
Format: Article
Language:English
Published: BMJ Publishing Group 2025-06-01
Series:World Journal of Pediatric Surgery
Online Access:https://wjps.bmj.com/content/8/3/e001040.full
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author Mark Davenport
author_facet Mark Davenport
author_sort Mark Davenport
collection DOAJ
description Biliary atresia (BA) may be characterized as an obliterative cholangiopathy presenting in the newborn period with conjugated jaundice, pale stools, and dark urine. It is usually thought of as an isolated anomaly in otherwise normal infants. However, in a minority, other anomalies may be present, some as defined syndromes, others as a non-random association. The most fully characterized is that of the biliary atresia splenic malformation syndrome seen in about 10% of European and North American series with a typical array of unusual extrahepatic anomalies (e.g., situs inversus, polysplenia, absence of the inferior vena cava, and a preduodenal portal vein). Its underlying genetic background is obscure in most cases. There are other syndromes with a definite link to BA, such as Cat-Eye syndrome and Kabuki syndrome, and still others that may have a link, such as Zimmerman-Laband syndrome.
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spelling doaj-art-7ce65db1545b485f836b414de638840c2025-08-20T02:05:40ZengBMJ Publishing GroupWorld Journal of Pediatric Surgery2516-54102025-06-018310.1136/wjps-2025-001040Syndromic variants of biliary atresiaMark Davenport0Department of Paediatric Surgery, King`s College London, London, UKBiliary atresia (BA) may be characterized as an obliterative cholangiopathy presenting in the newborn period with conjugated jaundice, pale stools, and dark urine. It is usually thought of as an isolated anomaly in otherwise normal infants. However, in a minority, other anomalies may be present, some as defined syndromes, others as a non-random association. The most fully characterized is that of the biliary atresia splenic malformation syndrome seen in about 10% of European and North American series with a typical array of unusual extrahepatic anomalies (e.g., situs inversus, polysplenia, absence of the inferior vena cava, and a preduodenal portal vein). Its underlying genetic background is obscure in most cases. There are other syndromes with a definite link to BA, such as Cat-Eye syndrome and Kabuki syndrome, and still others that may have a link, such as Zimmerman-Laband syndrome.https://wjps.bmj.com/content/8/3/e001040.full
spellingShingle Mark Davenport
Syndromic variants of biliary atresia
World Journal of Pediatric Surgery
title Syndromic variants of biliary atresia
title_full Syndromic variants of biliary atresia
title_fullStr Syndromic variants of biliary atresia
title_full_unstemmed Syndromic variants of biliary atresia
title_short Syndromic variants of biliary atresia
title_sort syndromic variants of biliary atresia
url https://wjps.bmj.com/content/8/3/e001040.full
work_keys_str_mv AT markdavenport syndromicvariantsofbiliaryatresia