Hepatic osteodystrophy complicated with bone fracture in early infants with biliary atresia

Figure 1 Intraoprative and imaging features. A: On laparotomy, the liver was brown and firm with a dull edge, suggesting cholestasis; B: Intraoperative cholangiography revealed a patent gallbladder (arrow) and no patency of the extrahepatic bile duct.

Figure 2 Plain skeletal radiographic features at the 7 d after hepaticojejunostomy in the case 1. Anteroposterior (A) and lateral (B) plain radiographs showing a displaced fracture (arrows) of the right distal femur.

Figure 3 Plain skeletal radiographic features at the 8 d after the application of an immobilizing plaster bandage for the femur fracture in the case 1. Callus formation (arrows) was seen 8 d after the application of an immobilizing plaster bandage (A) in case 1. The plaster bandage was removed after 20 d (B) and the fracture of the right femur was cured 6 mo post-fracture (C).

Figure 4 Intraoprative features. On laparotomy, the liver was brown and firm with a dull edge, suggesting cholestasis.

Figure 5 Plain skeletal radiographic features at the 28 d after hepaticojejunostomy in the case 2. Anteroposterior (A) and lateral (B) plain radiographs showing a displaced fracture (arrows) of the left distal femur.