Acholia

The intensely bilious color of the liver shows that the discoloration of the contents of the intestines is not due to arrested production of bile, that is to acholia.

This then illustrates acholia in the literal sense of the word, and explains the absence of icterus in spite of the complete obliteration of the ductus communis choledochus.

A 1-month 3-week-old infant with a history of neonatal jaundice, cholestasis, and acholia is admitted to our hospital to rule out biliary atresia and further treatment.