December 1978

Congenital Hepatic Duct Obstruction With Perforate Diaphragms

Author Affiliations

From the Departments of Surgery (Drs Devanesan and deBlasi), Gastroenterology (Drs Sable and Hoe), and Radiology (Dr Kinkahabwala), New York Medical College, New York. Dr Devanesan is now with the Department of Surgery, New Jersey Medical Center, College of Medicine and Dentistry of New Jersey, Newark.

Arch Surg. 1978;113(12):1452-1455. doi:10.1001/archsurg.1978.01370240074013

• A patient had obstruction of the right and left hepatic ducts secondary to perforate diaphragms at the junction with the common hepatic duct. Transhepatic cholangiograms of both the right and left lobes were required to define the presence of diaphragms at the junctions of right, left, and common hepatic ducts. Excision of the diaphragms relieved the obstruction. A distinction should be made between congenital nonobstructive and congenital obstructive cystic dilation of intrahepatic biliary radicals.

(Arch Surg 113:1452-1455, 1978)