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Biliary Excretion Noted on Hepatobiliary Iminodiacetic Acid Scan Does Not Exclude Diagnosis of Biliary Atresia.

Authors
  • Adeyemi, Adebowale1
  • States, Lisa2
  • Wann, Leslie3
  • Lin, Henry C4
  • Rand, Elizabeth B5
  • 1 Division of Gastroenterology, Hepatology and Nutrition, Nemours/Alfred I. duPont Hospital for Children, Wilmington, DE. Electronic address: [email protected]
  • 2 Department of Radiology, The Children's Hospital of Philadelphia, Philadelphia, PA.
  • 3 The University of Pennsylvania School of Arts and Sciences, Philadelphia, PA.
  • 4 Division of Pediatric Gastroenterology, Doernbecher Children's Hospital, Portland, OR.
  • 5 Division of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, PA.
Type
Published Article
Journal
The Journal of pediatrics
Publication Date
May 01, 2020
Volume
220
Pages
245–248
Identifiers
DOI: 10.1016/j.jpeds.2019.12.055
PMID: 32111380
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

A hepatobiliary iminodiacetic acid (HIDA) scan is frequently used in an attempt to exclude biliary atresia in infants who are cholestatic. We present 6 cases of confirmed biliary atresia in infants who had biliary patency reported on HIDA scan. We demonstrate that misinterpreted HIDA scans led to delayed diagnosis and surgical intervention for biliary atresia. Copyright © 2019 Elsevier Inc. All rights reserved.

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