case_images: PMC11807277_01
case_images: Four-day-old neonate with jaundiced sclera.
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case_images: At 4 days of age, jaundice was observed (Figure 1), along with deeply staining urine and clay-colored stools (Figure 2), raising suspicion of EHBA at an unusually early age.
case_images: Clay-colored stool at 4 days of age.
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case_images: PMC11807277_01_10.1177_03000605241311115-fig2.jpg
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case_images: At 4 days of age, jaundice was observed (Figure 1), along with deeply staining urine and clay-colored stools (Figure 2), raising suspicion of EHBA at an unusually early age.
case_images: PMC11807277_02
case_images: Surgical steps of Kasai portoenterostomy. (a) Right upper quadrant muscle-cutting incision with mobilization of the liver by division of the falciform ligament. (b, c) The liver was elevated outside the abdominal cavity, showing mobilization of the gallbladder and exposure of the porta hepatis. The liver appeared healthy due to early recognition and intervention and (d) Exposure and dissection of the porta hepatis.
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case_images: Figure 3(a) to (d) illustrates the surgical steps.
case_images: Stool color changes post-Kasai portoenterostomy indicating successful bile drainage. (a) Colored stool 48 hours postoperatively and (b) More deeply colored stool 7 days postoperatively.
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case_images: Within 48 hours of surgery, the stools changed to yellow (Figure 4(a)), becoming a deeper yellow-green color 1 week later (Figure 4(b)).
case_images: PMC11807277_03