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Four Cases of Congenital Choledochal Cyst.

Journal of the Korean Pediatric Society 1986;29(11):1269-1274.
Published online November 30, 1986.
Four Cases of Congenital Choledochal Cyst.
Hyun Eog Yang, Yoon Hee Lee, Kyung Tai Whang
Department of Pediatrics, Catholic Medical College, Seoul, Korea
선천성 담관 낭종의 4례
양현억, 이윤희, 황경태
가톨릭 의과대학 소아과학교실
This paper presents experience with 4 cases of choledochal cyst who were treated at the Dept, of Pediatrics, Catholic Medical College, from December, 1983 to February, 1985. All patients were less than 24 months of age when diagnosed, and the yongest was a 5 days of age, all of whom were female. The common presenting- symptoms in this cases were jaundice, abdominal distention, and vomiting. An abdominal mass was palpable in all and abdominal pain was not complaint in these patients. Laboratory findings were nonspecific indicating obstructive jaundice with a variable degree of hepatocellular dysfunctions. Radiographic investigations (plain abdomen, IVP, ultrasound echogram, and 99mTc-HIDA scan) were used in all instances to confirm the diagnosis. All patients underwent a Roux-en-Y choledochocystojejunostomy following removal of the:cyst, and confirmed the anomaly as having a Alonso-Lej type A.
Key Words: Congenital choledochal cyst.

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