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CHOLEDOCHAL CYST: A CONCEPT OF ETIOLOGY

DONALD P. BABBITT M.D.1, ROBERT J. STARSHAK M.D.2, and ARTHUR R. CLEMETT M.D.3

1 Clinical Professor, Departments of Radiology, Medical College of Wisconsin and University of Wisconsin; Director of Radiology, Milwaukee Children’s Hospital, Milwaukee, Wisconsin.
2 Resident in Radiology, St. Joseph’s Hospital, Milwaukee, Wisconsin.
3 Clinical Professor and Chief, G.I. Radiology Section, Departments of Radiology, New York University School of Medicine and St. Vincent’s Hospital and Medical Center of New York, New York, New York.

1. A new concept of the etiology of choledochal cyst is presented. The etiology of this entity is based on an anomalous relationship between the common bile duct and the pancreatic ducts.

2. This anomaly allows reflux of pancreatic juice into the common bile duct. Pancreatic juice leads to cholangitis and dilatation of the common duct.

3. The roentgenographic evaluation of choledochal cyst with special emphasis on cholangiography is presented.

4. The surgical implications of this anomaly are suggested.


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Arch SurgHome page
A. N. Dalvi, C. S. Pramesh, G. S. Prasanna, S. A. Rege, R. Khare, and C. S. Ravikiran
Incomplete Pancreas Divisum With Anomalous Choledochopancreatic Duct Junction With Choledochal Cyst
Arch Surg, October 1, 1999; 134(10): 1150 - 1152.
[Abstract] [Full Text] [PDF]




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