A Case of Biliary Atresia and Intracranial Bleeding Associated with Cytomegalovirus Infection

Abstract

In the literature, the association of biliary atresia with cytomegalovirus infection and presentation of infants with intracranial bleeding has been reported. We present a case of 02 months old female child who presented to Paediatrics ER with deep jaundice and intracranial bleeding. CT scan findings were suggestive of massive frontoparietal bleeding and patient's torch profile (cytomegalovirus Ig M) was also positive. After stabilization, the patient was referred to pediatrics surgery after a HIDA scan confirmed the findings of biliary atresia. In conclusion, biliary atresia should be considered in all patients with cholestasis and intracranial bleed and should also be searched for cytomegalovirus infection.