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Kamel Muakkasah, MD; Sami Obeid, MD; Michel Slim, MD

Arch Surg. 1976;111(10):1112-1114.

Abstract
• Cystic dilation of the common bile duct is a rare congenital anomaly. The cases of two patients, 2 and 18 years old, respectively, illustrate the difficulty in preoperative diagnosis, as well as the value of long-term postoperative follow-up. Ascending cholangitis developed in one of the patients after a Roux-en-Y cystojejunostomy nine years after operation. A follow-up of three years after cystoduodenostomy and 14 years after a hepaticojejunostomy is reported. In infants and small children, a cystoduodenostomy is usually done; otherwise, a cystojejunostomy should be the preferred initial operation. Excision may be attempted if the cyst is very small, and in selected cases.

(Arch Surg 111:1112-1114, 1976)

Author Affiliations
From the Department of Surgery, School of Medicine, American University of Beirut (Lebanon).

Footnotes
Accepted for publication March 5, 1976.

Reprints not available.

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