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6241 Surgery

An infant girl is found to have persistent jaundice after bih. A metabolic screen is normal, ultrasound demonstrates an absent gallbladder, and a technetium-99m iminodiacetic acid scan shows radionuclide that is concentrated in the liver but not excreted into the intestine. Which of the following is true?

AThis condition is usually managed nonoperatively.
BSurgery should be performed within 60 days of life. (Correct Answer)
CCystoenterostomy provides adequate biliary drainage.
DMost of these patients will not require transplantation.