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The paper describes a clinical observation of extrahepatic cholestasis in a 10-year-old child. Anatomical features required complex endoscopic surgery. The patient with jaundice and pain syndrome was hospitalized in the state of moderate severity with the history of the disease for more than a month. The study presents stages of outpatient and clinical laboratory and instrumental diagnostics. As a result, obstructive jaundice was revealed. Multi-stage endoscopic treatment was successfully performed. It revealed no signs of choledocholithiasis, but detected compression of the pancreatic part of the common bile duct without pathological changes in the head of the pancreas. Endoscopic stenting of the common bile duct and pancreatic duct was performed. Biliary hypertension was eliminated. Endoscopic methods of biliary decompression can be applied to older children. Pancreatic duct stenting can be performed to prevent postoperative pancreatitis. Atypical sphincterotomy provides access to the bile ducts.
Schebenkov et al. (Tue,) studied this question.