- Dx: Suspected with jaundice > 2wk old. Differential includes inborn error of metabolism, CF, alpha-1-antitripsin.
- Surgery with cholangiogram
- Tx: Kasaii
- Dx: Type is determined by CT.
- Type I= fusiform
- Type II= diverticulum
- Type III= choledochalcele
- Type IV= intra/extra hepatic
- Type V= intrahepatic
- Tx: Management is based on type.
- Type I - resection of biliary tree and hepaticojejunostomy
- Type II - resect diverticulum and close
- Type III - resect and reanastamose with duodenum or sphincterotomy with ERCP
- Type IV - resect
- Type V - lobectomy if unilateral
- Dx: Patients have fluid in scrotum, it transiluminates.
- Tx: Repair If:
- not resolved by 2 yrs old.
- unsightly or painful.
- Dx: The testicle is not descended in the scrotum, but must differentiate from retractile testes (hold in place for 1 min, retractile testes will remain in place because cremasterics are fatigued).
- karyotype for bilateral cryptorchidism.
- Tx: Main reason for treatment is to allow for continued screeing for testicular cancer which has an increased incidence.
- Repair before 1yr old. After 2yr, there is no fertility.