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Cystic Dilatation of Common Bile Duct in Adults

WILLIAM L. JOSEPH, MD; ERIC W. FONKALSRUD, MD; WILLIAM P. LONGMIRE JR., MD
Arch Surg. 1965;91(3):468-473. doi:10.1001/archsurg.1965.01320150098017.
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IDIOPATHIC cystic dilatation of the common bile duct has long been considered a disease of children and young adults. The early report of Ladd and Gross1 stressed that this lesion was congenital in origin, intermittent and chronic in course, and characterized by the triad of pain, intermittent jaundice, and an abdominal mass. Recently, however, various authors2,3 have reported an increasing incidence of this entity in an older population, without this classic diagnostic triad. Thus it would appear that choledochal cyst, although congenital in origin, can simulate in adults biliary-tract obstruction due to the more common causes such as stone, stricture, and malignant tumor. The general surgeon must be familiar with the variations in the clinical course and pathological conditions of this anomaly if morbidity and mortality are to be reduced. This report is a review of three patients, ages 10, 21, and 58 years, who had pain and

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