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The most recent version of this article was published on 1 August 2008

J Clin Pathol. Published Online First: 16 February 2007. doi:10.1136/jcp.2006.045831
Copyright © 2007 by the BMJ Publishing Group Ltd & Association of Clinical Pathologists.

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*Bile Duct Diseases

Histopathology

Extrahepatic biliary atresia with cartilaginous metaplasia in the gallbladder remnants

Eugenia Altamirano 1 and Ricardo Drut 1*

1 Hospital de Niños, Argentina

* To whom correspondence should be addressed. E-mail: patologi{at}netverk.com.ar.

Accepted 2 February 2007


*   Abstract

Extrahepatic biliary atresia (EBA) is a chronic inflammatory process leading to fibrous obliteration of the biliary tree. Cartilaginous metaplasia within the remaining walls of the biliary main ducts in EBA has been reported once although as cartilage heterotopia. We are presenting a similar finding but in the gallbladder of an infant with the full-blown manifestations of EBA and proposing that the alteration results from metaplasia of local connective tissue. Also referred to, is the complete disappearance of smooth muscle cells in the walls of the biliary tree in EBA, a data which seems to be missing in the description of the pathology in these circumstances.

Key Words: cartilaginous metaplasia, extrahepatic biliary atresia, gallbladder







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Copyright © 2007 by the BMJ Publishing Group Ltd & Association of Clinical Pathologists.