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Case Report With Follow-up and Review of the Literature

Jean-Michel Loubeau, MD; Felicien M. Steichen, MD

Arch Surg. 1976;111(12):1384-1390.

Abstract
• 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)

Author Affiliations
From the Department of Surgery, Montefiore Hospital (Dr Steichen) and the Veterans Administration Hospital (Dr Loubeau), and the University of Pittsburgh School of Medicine.

Footnotes
Accepted for publication June 14, 1976.

Reprint requests to Veterans Administration Hospital, University Drive C, Pittsburgh, PA 15240 (Dr Loubeau).

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Choledochal Cyst: Etiological Considerations and Surgical Management in 22 Cases
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Arch Surg 1978;113:159-163.
ABSTRACT