Case Presentation Patient One A nine-month-old male neonate, born at term (40 weeks), presented with a one-day history of bilious emesis and acholic stools. He had a previous episode of neonatal jaundice that resolved spontaneously by two months of age. Family history was notable for maternal cholelithiasis, but there was no family history of liver or bleeding disorders.
On examination, the patient appeared well-hydrated and afebrile, with a heart rate of 160 beats/min, respiratory rate of 34 breaths/min, and oxygen saturation of 97%. The abdomen was soft and non-tender. Laboratory findings: Leukocytosis – White blood cell (WBC) count: 14.3 × 10⁹/L Microcytic anemia – Hemoglobin: 9.0 g/dL Elevated liver enzymes: Lactate dehydrogenase (LDH): 483 U/L Gamma-glutamyl transferase (GGT): 214 U/L Total and conjugated bilirubin levels: Within normal limits at presentation Imaging Findings…
