Quan DW, Li PG, Xu XH, Liu SQ. Giant bile duct dilatation in newborn: A case report. World J Clin Cases 2024; 12(6): 1150-1156 [PMID: 38464933 DOI: 10.12998/wjcc.v12.i6.1150]
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Feb 26, 2024; 12(6): 1150-1156 Published online Feb 26, 2024. doi: 10.12998/wjcc.v12.i6.1150
Giant bile duct dilatation in newborn: A case report
Dong-Wen Quan, Peng-Gang Li, Xiang-Hua Xu, Shi-Qi Liu
Dong-Wen Quan, The Second Clinical Medical School, Shaanxi University of Chinese Medicine, Xianyang 712000, Shaanxi Province, China
Peng-Gang Li, The First School of Clinical Medicine, Shaanxi University of Chinese Medicine, Xianyang 712000, Shaanxi Province, China
Xiang-Hua Xu, Department of Hepatobiliary Surgery, The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, Shaanxi Province, China
Shi-Qi Liu, Department of Neonatal Surgery, Xi’an Children’s Hospital Affiliated Xi’an Jiaotong University, Xi’an 710003, Shaanxi Province, China
Author contributions: Quan DW contributed to manuscript writing, editing and data collection; Xu XH and Liu SQ contributed to data analysis, conceptualization and supervision; Li PG contributed to translating and reviewing; All authors have read and approved the final manuscript.
Supported byNational Natural Science Foundation of China, No. 82170676; Natural Science Foundation of Shaanxi Provincial Key Industries Innovation Chain (Cluster)-Social Development Project, No. 2020ZDLSF02-03; and Xi’an Talents Plan Project: Clinical Application of Minimally Invasive Treatment of Alimentary Tract Malformation in Children by Combining Medical and Industrial Innovative Technology of Magnetic Surgery, No. XAYC210064.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors report having no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Received: October 15, 2023 Peer-review started: October 15, 2023 First decision: December 15, 2023 Revised: December 26, 2023 Accepted: January 22, 2024 Article in press: January 22, 2024 Published online: February 26, 2024
Core Tip
Core Tip: Clinically, giant congenital biliary dilation (CBD) is a rare condition compared to ordinary CBD. There are numerous research articles discussing surgical treatment options for common CBD. The choice of specific surgical method should be based on the individual circumstances of the hospital, the child, and the family members. In our case report, we present the experience of treating a very young child (11 d old) with a significantly dilated biliary tract. The overall condition of the child before the operation was critical. During laparoscopic biliary reconstruction, we encountered a thin and ulcerated cyst wall, making separation and bleeding control challenging. Therefore, we opted for an open laparotomy and performed a Roux-en-Y anastomosis between the common hepatic duct and jejunum. Taking into consideration the analysis of similar cases indexed in PubMed, we suggest that open surgery is more advantageous than laparoscopic treatment for children with giant CBD who are in critical condition and have severe biliary tract distortion.
