A 6(1/2)-year-old girl developed recurrent cholangitis following hepatic portoenterostomy for biliary atresia. Computed tomogram showed an ovoid cyst (4.5 × 4.0 cm in size) in the left hepatic lobe and another tubular dilatation (2.0 × 0.8 cm in size) in the right hepatic lobe. Percutaneous transhepatic cholangio-drainage (PTCD) with cystogram showed an ovoid cyst in the left hepatic lobe (Tsuchida type A), measuring 6.6 × 5.0 cmin size. She became afebrile and anicteric with aid of PTCD and parenteral antibiotics. However she continued to drain 45-150 cc of bile per day via the tube for over 2 weeks. Then she successfully underwent intrahepatic cystojejunostomy with guidance of intraoperative ultrasonography. This case illustrates relapsing cholangitis caused by Tsuchida type A intrahepatic cyst, which was successfully managed with PTCD followed by internal drainage procedure.

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• Late complications and current status of long-term survivals over 10 years after Kasai portoenterostomy
  Eunyoung Jung, Woo-Hyun Park, Soon-Ok Choi
  Journal of the Korean Surgical Society.2011; 81(4): 271.     CrossRef
• Five-year Survival and Prognostic Factors after Kasai Portoenterostomy for Biliary Atresia
  A Rum Hong, Eunyoung Jung, Yu-Na Kang, Soon-Ok Choi, Woo-Hyun Park
  Journal of the Korean Surgical Society.2010; 79(5): 405.     CrossRef