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Table 2 PTCC patterns and corresponding diagnoses

From: Findings in percutaneous trans-hepatic cholecysto-cholangiography in neonates and infants presenting with conjugated hyperbilirubinemia: emphasis on differential diagnosis and cholangiographic patterns

PTCC pattern

Diagnosis (n)

Non-opacification of CHD and narrowed CBD

Biliary Atresia (11)

Alagille Syndrome (4)

Alpha-1 Antitrypsin Deficiency (1)

Isolated small GB with no opacification of the remainder of the biliary tree

Biliary Atresia (10)

Cystic Biliary Atresia

Biliary Atresia (3)

Small GB with non-opacification of CBD and abnormal intra-hepatic ducts

Biliary Atresia (2)

Relatively thin CHD compared to the CBD

Progressive Familial Intrahepatic Cholestasis (PFIC) (1)

Hepatitis of Unknown Origin (1)

Normal PTCC

TPN Cholestasis (15)

Neonatal Hepatitis (12)

Progressive Familial Intrahepatic Cholestasis (PFIC) (3)

Williams Syndrome (1)

North American Indian Childhood Cirrhosis (NAICC) (1)

G6PD Deficiency (1)

Hepatitis of Unknown Origin (7)

  1. PTCC Percutaneous Trans-Hepatic Cholecysto-Cholangiography, CHD Common Hepatic Duct, CBD Common Bile Duct, GB Gallbladder.