case_images: PMC10475254_01
case_images: H&E stained section of liver needle biopsy showing portal tract with absent bile duct; overall bile duct to portal tract ratio was 0.4, consistent with paucity of bile ducts/Alagille syndrome.. Photo courtesy of Dr. Denise Malicki, Clinical Professor of Pathology at UC San Diego.
case_images: 10.1177_2050313X231197321-fig1.jpg
case_images: PMC10475254_01_10.1177_2050313X231197321-fig1.jpg
case_images: fig1-2050313X231197321
case_images: It is worth noting that patients with ALGS who undergo a Kasai procedure have shown poor outcomes.   In response to the parents' request, a liver biopsy was performed, which revealed a paucity of bile ducts and no histologic evidence of BA (Figure 1).