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December 1976

Dilation of Intrahepatic Bile Ducts in Choledochal CystCase Report With Follow-up and Review of the Literature

Arch Surg. 1976;111(12):1384-1390. doi:10.1001/archsurg.1976.01360300074012

• Fifty-five cases of intrahepatic dilation of the bile ducts associated with choledochal cyst have been found in the literature, mostly reported over the past five years. Obstructive jaundice is often not present at an early stage in this group of patients, but dissociation of the serum bilirubin and alkaline phosphatase levels could be an early manifestation of this condition. Recent advances in diagnosis and new concepts of the cause and surgical management are reviewed. A case is reported where choledochocystojejunostomy was performed using automatic stapling instruments. Disappearance of symptoms, normalization of liver functions, and reduction in size of the cysts were observed during the two-year postoperative period.

(Arch Surg 111:1384-1390, 1976)