{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T01:46:19Z","timestamp":1773971179741,"version":"3.50.1"},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,5,29]],"date-time":"2024-05-29T00:00:00Z","timestamp":1716940800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,5,29]],"date-time":"2024-05-29T00:00:00Z","timestamp":1716940800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["surg case rep"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Biliary obstruction due to compression by a B-cell solid tumor occurs rarely. A few reports have described biliary reconstruction surgery for obstructive jaundice caused by Burkitt\u2019s lymphoma. However, there are no detailed reports on pediatric cases. We report a pediatric case of obstructive jaundice due to malignant lymphoma treated with biliary reconstruction surgery.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 5-year-old girl presented to our hospital with a massive abdominal tumor that caused biliary stricture. Chemotherapy was initiated after an open tumor biopsy. However, endoscopic biliary stent placement was performed owing to elevated bilirubin levels. We treated the patient with chemotherapy for 9\u00a0months while endoscopically replacing the biliary stent every few months. She achieved complete tumor remission. However, sclerotic lymph nodes were persistent on the dorsal side of the cholecystic duct junction, and biliary stricture at the same site had changed to stent-dependent biliary obstruction. Therefore, we performed choledochojejunostomy and retrocolic Roux-en-Y reconstruction 15\u00a0months after initial admission. There were no postoperative complications or tumor recurrences, and the bilirubin level remained low. Histopathologically, the resected bile duct wall was fibrotic and thick, and the bile duct lumen narrowed.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Biliary reconstruction is effective to achieve long-term biliary patency in pediatric patients with stent-dependent biliary obstruction due to malignant lymphoma. However, the decision on when to stop biliary stent replacement and proceed to biliary reconstruction surgery is a matter of debate. Further case studies are required to address this issue.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40792-024-01935-5","type":"journal-article","created":{"date-parts":[[2024,5,29]],"date-time":"2024-05-29T03:48:10Z","timestamp":1716954490000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["A pediatric case of Burkitt\u2019s lymphoma with bile duct obstruction requiring surgical biliary reconstruction"],"prefix":"10.1186","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9732-8381","authenticated-orcid":false,"given":"Shun","family":"Watanabe","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kan","family":"Suzuki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kei","family":"Ogino","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sumiko","family":"Irie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuko","family":"Kamata","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shotaro","family":"Matsudera","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masahiro","family":"Hatanaka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazunori","family":"Kurosaki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Makoto","family":"Ishikawa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mayuko","family":"Okuya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuya","family":"Sato","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akira","family":"Yamamiya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atsushi","family":"Irisawa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuyuki","family":"Ishida","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shigemi","family":"Yoshihara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuyuki","family":"Kojima","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,5,29]]},"reference":[{"issue":"6","key":"1935_CR1","doi-asserted-by":"publisher","first-page":"969","DOI":"10.1200\/JCO.1987.5.6.969","volume":"5","author":"JJ Lokich","year":"1987","unstructured":"Lokich JJ, Kane RA, Harrison DA, McDermott WV. Biliary tract obstruction secondary to cancer: management guidelines and selected literature review. J Clin Oncol. 1987;5(6):969\u201381. https:\/\/doi.org\/10.1200\/JCO.1987.5.6.969.","journal-title":"J Clin Oncol"},{"issue":"2","key":"1935_CR2","doi-asserted-by":"publisher","first-page":"111","DOI":"10.1002\/jso.2930140204","volume":"14","author":"AW Boddie Jr","year":"1980","unstructured":"Boddie AW Jr, Eisenberg BL, Mullins JD, Schlichtemeier AL. The diagnosis and treatment of obstructive jaundice secondary to malignant lymphoma: a problem in multidisciplinary management. J Surg Oncol. 1980;14(2):111\u201323. https:\/\/doi.org\/10.1002\/jso.2930140204.","journal-title":"J Surg Oncol"},{"issue":"3","key":"1935_CR3","doi-asserted-by":"publisher","first-page":"575","DOI":"10.1002\/1097-0142(19850801)56:3<575::aid-cncr2820560326>3.0.co;2-9","volume":"56","author":"FB Ruymann","year":"1985","unstructured":"Ruymann FB, Raney RB Jr, Crist WM, Lawrence W Jr, Lindberg RD, Soule EH. Rhabdomyosarcoma of the biliary tree in childhood. A report from the Intergroup rhabdomyosarcoma Study. Cancer. 1985;56(3):575\u201381. https:\/\/doi.org\/10.1002\/1097-0142(19850801)56:3%3c575::aid-cncr2820560326%3e3.0.co;2-9.","journal-title":"Cancer"},{"issue":"7","key":"1935_CR4","doi-asserted-by":"publisher","first-page":"1436","DOI":"10.1093\/annonc\/mdx097","volume":"28","author":"A Younes","year":"2017","unstructured":"Younes A, Hilden P, Coiffier B, Hagenbeek A, Salles G, Wilson W, et al. International Working Group consensus response evaluation criteria in lymphoma (RECIL 2017). Ann Oncol. 2017;28(7):1436\u201347. https:\/\/doi.org\/10.1093\/annonc\/mdx097.","journal-title":"Ann Oncol"},{"issue":"11","key":"1935_CR5","doi-asserted-by":"publisher","first-page":"3271","DOI":"10.1007\/s10620-010-1310-6","volume":"55","author":"WA Ross","year":"2010","unstructured":"Ross WA, Egwim CI, Wallace MJ, Wang M, Madoff DC, Lee JH. Outcomes in lymphoma patients with obstructive jaundice: a cancer center experience. Dig Dis Sci. 2010;55(11):3271\u20137. https:\/\/doi.org\/10.1007\/s10620-010-1310-6.","journal-title":"Dig Dis Sci"},{"issue":"3","key":"1935_CR6","doi-asserted-by":"publisher","first-page":"269","DOI":"10.1055\/s-2008-1040582","volume":"7","author":"MJ Birrer","year":"1987","unstructured":"Birrer MJ, Young RC. Differential diagnosis of jaundice in lymphoma patients. Semin Liver Dis. 1987;7(3):269\u201377. https:\/\/doi.org\/10.1055\/s-2008-1040582.","journal-title":"Semin Liver Dis"},{"issue":"9","key":"1935_CR7","doi-asserted-by":"publisher","first-page":"2323","DOI":"10.1007\/s10620-007-9786-4","volume":"52","author":"B Odemi\u015f","year":"2007","unstructured":"Odemi\u015f B, Parlak E, Ba\u015far O, Y\u00fcksel O, Sahin B. Biliary tract obstruction secondary to malignant lymphoma: experience at a referral center. Dig Dis Sci. 2007;52(9):2323\u201332. https:\/\/doi.org\/10.1007\/s10620-007-9786-4.","journal-title":"Dig Dis Sci"},{"issue":"4","key":"1935_CR8","doi-asserted-by":"publisher","first-page":"301","DOI":"10.1016\/S1015-9584(09)60366-3","volume":"28","author":"B Kessel","year":"2005","unstructured":"Kessel B, Moisseiev E, Korin A, Soimu U, Ashkenazi I, Asquenasi A, et al. Burkitt\u2019s lymphoma: an unusual cause of obstructive jaundice. Asian J Surg. 2005;28(4):301\u20134. https:\/\/doi.org\/10.1016\/S1015-9584(09)60366-3.","journal-title":"Asian J Surg"},{"issue":"10","key":"1935_CR9","doi-asserted-by":"publisher","first-page":"1241","DOI":"10.1097\/00042737-200110000-00019","volume":"13","author":"GA Morali","year":"2001","unstructured":"Morali GA, Rozenmann E, Ashkenazi J, Munter G, Braverman DZ. Acute liver failure as the sole manifestation of relapsing non-Hodgkin\u2019s lymphoma. Eur J Gastroenterol Hepatol. 2001;13(10):1241\u20133. https:\/\/doi.org\/10.1097\/00042737-200110000-00019.","journal-title":"Eur J Gastroenterol Hepatol"}],"container-title":["Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-024-01935-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40792-024-01935-5\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-024-01935-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,29]],"date-time":"2024-05-29T03:50:30Z","timestamp":1716954630000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicalcasereports.springeropen.com\/articles\/10.1186\/s40792-024-01935-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,29]]},"references-count":9,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["1935"],"URL":"https:\/\/doi.org\/10.1186\/s40792-024-01935-5","relation":{},"ISSN":["2198-7793"],"issn-type":[{"value":"2198-7793","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,29]]},"assertion":[{"value":"8 February 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 May 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 May 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The need for ethics approval was waived under the ethics regulations of the authors\u2019 institution.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient\u2019s parents for the publication of this report and the associated images.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"There is no competing interest.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"133"}}