Ciencias de la Salud

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Colestasis Neonatal
(2016-05-01) Muñoz Arévalo, Johanna Gabriela; Vaca Pazmiño, Carlos Fernando Dr. PhD.
The following case was taken as an object of study due to hyperbilirubinemia is one of the biggest causes of admission to the neonatology service, however colestaisi by biliary atresia is a case with low incidence. It is a 27 days of life female patient who is born with Apgar 8/9 atermino without any history of importance,the patient comes with 2 days of suffer of widespread Jaundice besides coluria and physical examination .At acolia jaundiced tint, palpable liver. The patient is admitted with diagnosis of pathological jaundice, Bilirubin Total 31.2 mg / dl, Direct Bilirubin 21.94 mg / dl, reticulocytes 0.4%, while hospitalized multiple routine exams are performed to rule out pathologies that relate to this type of symptomatology such as sepsis and metabolic problems. The obtained results were within normal values; nevertheless,due to the persisting symptoms, a new abdominal eco is made, which reported mild hepatic growth with choledochal dilatation. Taking this as indirect signs of biliary atresia. Consequently she is transferred to Hospital Vaca Ortiz where colangioresonancia is done, confirming diagnosis. Currently,the patient is on palliative treatment on hold of surgical resolution .