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July 1957

Congenital Cystic Dilatation of the Common Duct (Choledochal Cyst): Report of Two Cases

Author Affiliations

Columbus, Ohio; Portsmouth, Ohio; Ashland, Ohio
From the Department of Surgery and the Surgical Service, University Hospital, Ohio State University; Clinical Fellow, American Cancer Society (Dr. Rini).

AMA Arch Surg. 1957;75(1):143-145. doi:10.1001/archsurg.1957.01280130149027

Congenital cystic dilatation of the common bile duct is a rare anomaly but it may simulate usual types of acute or chronic biliary disease in the adult. The general surgeon, unexpectedly confronted with this lesion at the time of anticipated elective cholecystectomy, might have difficulty both in recognizing this anomaly and in selecting the surgical procedure of choice. Attempting to excise the cyst is both dangerous and unjustified, since excellent results are achieved by cystoduodenostomy. For these reasons, two recent and unusual cases treated at this clinic seem worthy of presentation. To our knowledge, this condition occurred in the oldest patient yet reported. Report of Cases

Case 1.  —A 43-year-old white woman initially entered this hospital in February, 1955, complaining of recurrent episodes of right subcostal pain. She dated her symptoms back to 18 months prior to admission, when she noted the onset of recurrent attacks of right upper quadrant

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