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. 1975 Nov;182(5):635–643. doi: 10.1097/00000658-197511000-00017

Biliary cysts.

P D Flanigan
PMCID: PMC1344050  PMID: 1103760

Abstract

This review brings the total number of biliary cysts reported in the world literature to 955. Eighty-one per cent of patients are females and 61% were discovered before age ten. The classical triad of right upper quadrant pain, right upper quandrant mass, and juandice is present in 38% of cases. The duration of symptoms prior to diagnosis ranged from less than one week to more than 40 years. The etiology is multifaceted and evidence of the existence of both acquired and congenital cysts is presented. The most useful diagnostic tool is fiberoptic endoscopy with retrograde contrast injection of the common bile duct and pancreatic duct. The incidence of biliary carcinoma in patients with biliary cysts is found to be 2.5%; 24 cases have been reported. Considerable controversy has existed concerning the best operative procedure for biliary cysts; no treatment or medical treatment yielding a 97% mortality rate. In an analysis of 235 patients presented since 1968 with an average followup of 5.2 years, the best procedure appears to be excision with either choledochocholedocostomy or Roux-en-Y hepaticojejunostomy. The operative mortality for all procedures is now 3 to 4%.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. ALONSO-LEJ F., REVER W. B., Jr, PESSAGNO D. J. Congenital choledochal cyst, with a report of 2, and an analysis of 94, cases. Int Abstr Surg. 1959 Jan;108(1):1–30. [PubMed] [Google Scholar]
  2. ANDREWS C. E., ANDE W. F. Choledochal cyst treated by sphincterotomy. AMA Arch Surg. 1959 Jul;79(1):158–162. doi: 10.1001/archsurg.1959.04320070162029. [DOI] [PubMed] [Google Scholar]
  3. ASHBY B. S. CARCINOMA IN A CHOLEDOCHUS CYST. Br J Surg. 1964 Jul;51:493–496. doi: 10.1002/bjs.1800510706. [DOI] [PubMed] [Google Scholar]
  4. ATTAR S., OBEID S. Congenital cyst of the common bile duct; a review of the literature and a report of two cases. Ann Surg. 1955 Aug;142(2):289–295. doi: 10.1097/00000658-195508000-00018. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Ammann R. W., Deyhle P., Butikofer E. Fatal nectotizing pancreatitis after peroral cholangiopancreatography. Gastroenterology. 1973 Feb;64(2):320–323. [PubMed] [Google Scholar]
  6. Babbitt D. P., Starshak R. J., Clemett A. R. Choledochal cyst: a concept of etiology. Am J Roentgenol Radium Ther Nucl Med. 1973 Sep;119(1):57–62. doi: 10.2214/ajr.119.1.57. [DOI] [PubMed] [Google Scholar]
  7. Baila A. E., Cervini O. E., Bianchi H. A., Geraghty P. J. Quiste del colédoco. Prensa Med Argent. 1969 May 9;56(10):452–458. [PubMed] [Google Scholar]
  8. Bairov G. A. Diagnostika i lechenie vrozhdennogo kistoznogo rasshireniia obshchego zhelchnogo protoka u detei. Vestn Khir Im I I Grek. 1967 Dec;99(12):91–96. [PubMed] [Google Scholar]
  9. Bakran I., Knezević S. Kongenitalna cisticna dilatacija koledohusa. Lijec Vjesn. 1969 Jul;91(7):757–762. [PubMed] [Google Scholar]
  10. Beltrame A., Zaffaroni G. Itteri da dilatazione idiopatica del coledoco. Arch Ital Chir. 1967;93(1):535–542. [PubMed] [Google Scholar]
  11. Blery M., Desvignes P., Moreau J. F., Dupuy P., Bismuth V. Dilatation kystique congénitale du cholédoque. A propos d'un cas diagnostiqué par cholécystographie. Ann Radiol (Paris) 1972 Nov-Dec;15(11):831–839. [PubMed] [Google Scholar]
  12. Block M. A., Schuman B. M., Weckstein M. L. Interpretative problems in endoscopic retrograde cholangiopancreatography. Am J Surg. 1975 Jan;129(1):29–33. doi: 10.1016/0002-9610(75)90162-2. [DOI] [PubMed] [Google Scholar]
  13. Borde J., Mitrofanoff P., Grosley M. Dilatation kystique congénitale du cholédoque. Ann Chir. 1973 Mar;27(3):286–291. [PubMed] [Google Scholar]
  14. Brunton F. J., Bamforth J. Intraluminal diverticulum of the duodenum and choledochocele. Gut. 1972 Mar;13(3):207–210. doi: 10.1136/gut.13.3.207. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Bryc S., Zakrys M., Plocka K. Przypadek nadmiernie szerokiego przewodu zóciowego wspólnego (choledochodilatatio permagna) Wiad Lek. 1969 Nov;22(21):1981–1983. [PubMed] [Google Scholar]
  16. CAROLI J., COUINAUD C., SOUPAULT R., PORCHER P., ETEVE J. Une affection nouvelle, sans doute congénitale, des voies biliaires: la dilatation kystique unilobaire des canaux hépatiques. Sem Hop. 1958 Feb 18;34(8/2):496–502/SP. [PubMed] [Google Scholar]
  17. Cahlin E., Lundholm K., Sahlin O., Scherstén T. Choledochal cyst. A case operated with excision and anatomical reconstruction. Acta Chir Scand. 1974;140(2):161–163. [PubMed] [Google Scholar]
  18. Chen W., Chang C., Hung W. Congenital choledochal cyst: with observations on rupture of the cyst and intrahepatic ductal dilatation. J Pediatr Surg. 1973 Aug;8(4):529–538. doi: 10.1016/0022-3468(73)90216-9. [DOI] [PubMed] [Google Scholar]
  19. Cooperman A. M., Sivak M. V., Sullivan B. H., Jr, Hermann R. E. Endoscopic pancreatography: its value in preoperative and postoperative assessment of pancreatic disease. Am J Surg. 1975 Jan;129(1):38–43. doi: 10.1016/0002-9610(75)90164-6. [DOI] [PubMed] [Google Scholar]
  20. DEXTER D. Choledochal cyst with carcinoma of the intrahepatic bile ducts and pancreatic ducts. Br J Cancer. 1957 Mar;11(1):18–25. doi: 10.1038/bjc.1957.3. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Davis R. Choledochal cyst. S Afr Med J. 1973 Nov 24;47(46):2234–2236. [PubMed] [Google Scholar]
  22. Deyhle P., Schnaars P., Meyer H. J., Nüesch H. J., Akovbiantz A. Perorale endoskopisch-elektrochirurgische Abtragung einer Choledochocele. Dtsch Med Wochenschr. 1974 Jan 18;99(3):71–72. doi: 10.1055/s-0028-1107714. [DOI] [PubMed] [Google Scholar]
  23. Duberman L. B., Kovshikov V. S. O kistakh obshchego zhelchnogo protoka. Khirurgiia (Mosk) 1969 Nov;45(11):63–68. [PubMed] [Google Scholar]
  24. Duckett J., Eraklis A. J., Longino L. Surgical treatment of idiopathic dilatation of the common bile duct (choledochal cyst) in 14 children. J Pediatr Surg. 1971 Aug;6(4):421–426. doi: 10.1016/s0022-3468(71)80002-7. [DOI] [PubMed] [Google Scholar]
  25. Elgar D. E., Gudgeon D. H. Choledochus cyst complicating pregnancy. Br J Surg. 1969 Nov;56(11):868–870. doi: 10.1002/bjs.1800561121. [DOI] [PubMed] [Google Scholar]
  26. FISCHER H. G. Primares Karzinom in der Wand einer angeborenen zystischen Gallengangserweiterung (sog. Hepatikuszyste). Zentralbl Chir. 1958 Jun 14;83(24):1234–1241. [PubMed] [Google Scholar]
  27. FRIEND W. D. Rupture of choledochal cyst during confinement. Br J Surg. 1958 Sep;46(196):155–157. doi: 10.1002/bjs.18004619614. [DOI] [PubMed] [Google Scholar]
  28. Firica T., Gradinaru V., Radulesco M. La dilatation kystique congénitale de la voie biliaire principale. Acta Gastroenterol Belg. 1970 Aug-Sep;33(8):657–664. [PubMed] [Google Scholar]
  29. GEORGE P. A., MAINGOT R. Choledochus cyst associated with carcinoma in the liver. Report of a case. Br J Surg. 1962 Nov;50:339–341. doi: 10.1002/bjs.18005022120. [DOI] [PubMed] [Google Scholar]
  30. Galloway J. P., Morton A. L. Intrahepatic choledochus cyst. J R Coll Surg Edinb. 1969 Sep;14(5):288–293. [PubMed] [Google Scholar]
  31. Garbsch H., Mayrhofer P. Zur kongenitalen Dilatation des Ductus hepatocholedochus. Wien Z Inn Med. 1973;54(1):40–45. [PubMed] [Google Scholar]
  32. Gautier-Benoit C., Deldicque H., Houcke M. Kyste du canal cholédoque. Sem Hop. 1970 Oct 14;46(41):2630–2631. [PubMed] [Google Scholar]
  33. Giugiaro A., Grassi E. Illustrazione di un caso di dilatazione idiopatica segmentaria del coledoco in un lattante di un mese. Minerva Pediatr. 1969 Jul 14;21(28):1299–1306. [PubMed] [Google Scholar]
  34. Gonzalez Calderon A., Valenzuela J. F., Couceiro A. Dilatación quística congénita del colédoco. Rev Esp Enferm Apar Dig. 1967 Nov;26(9):1120–1128. [PubMed] [Google Scholar]
  35. Gradauskas I. K., Gol'dgammer A. K. Vrozhdennoe kistoznoe rasshirenie obshchego zhelchnogo protoka. Vestn Khir Im I I Grek. 1969 Jun;102(6):112–113. [PubMed] [Google Scholar]
  36. Han S. Y., Collins L. C., Wright R. M. Choledochal cyst: report of five cases. Clin Radiol. 1969 Jul;20(3):332–336. doi: 10.1016/s0009-9260(69)80153-4. [DOI] [PubMed] [Google Scholar]
  37. Hepp J., Mutricy J. Réflexions sur le traitement de la dilatation kystique congénitale de la voie biliaire principale. Lyon Chir. 1971 May-Jun;67(3):173–175. [PubMed] [Google Scholar]
  38. Heyder, Heyder Congenital choledochal cyst. Paediatr Indones. 1973 Jan;13(1):31–34. doi: 10.14238/pi13.1.1973.31-4. [DOI] [PubMed] [Google Scholar]
  39. Hizawa K., Fukuda F., Akagi G., Kitamura T., Tao S. Carcinoma associated with idiopathic choledochus cyst. Acta Pathol Jpn. 1967 Feb;17(1):101–106. doi: 10.1111/j.1440-1827.1967.tb01205.x. [DOI] [PubMed] [Google Scholar]
  40. Hoffer P. B., Petasnick J. P. Choledochal cysts demonstrated by oral cholecystography. Radiology. 1969 Oct;93(4):871–872. doi: 10.1148/93.4.871. [DOI] [PubMed] [Google Scholar]
  41. Horntrich J. Beitrag zur kongenitalen zystischen Gallengangserweiterung. Zentralbl Chir. 1971 Jun 26;96(26):865–874. [PubMed] [Google Scholar]
  42. Hung W. T., Chang C. H. Congenital choledochal cysts in infant and childhood. Taiwan Yi Xue Hui Za Zhi. 1971 Jun 28;70(6):335–343. [PubMed] [Google Scholar]
  43. Höhle K. D., Schmitt-Köppler A., Pross E. Die chirurgische Behandlung der idiopathischen Choledochuscyste. Chirurg. 1972 Aug;43(8):369–372. [PubMed] [Google Scholar]
  44. Ishida M., Tsuchida Y., Saito S., Hori T. Primary excision of choledochal cysts. Surgery. 1970 Nov;68(5):884–888. [PubMed] [Google Scholar]
  45. Iuchtman M., Martins M. S., Scheidemantel R. E. Congenital diverticulum of the choledochus. Report of a case. Int Surg. 1971 Apr;55(4):280–282. [PubMed] [Google Scholar]
  46. Jackson B. T., Saunders P. Perforated choledochus cyst. Br J Surg. 1971 Jan;58(1):38–42. doi: 10.1002/bjs.1800580107. [DOI] [PubMed] [Google Scholar]
  47. Jones A. W., Shreeve D. R. Congenital dilatation of intrahepatic biliary ducts with cholangiocarcinoma. Br Med J. 1970 May 2;2(5704):277–278. doi: 10.1136/bmj.2.5704.277. [DOI] [PMC free article] [PubMed] [Google Scholar]
  48. Jones C. A., Olbourne N. A. Choledochal cyst with associated cholelithiasis diagnosed by infusion cholangiography and tomography. Br J Radiol. 1973 Sep;46(549):711–714. doi: 10.1259/0007-1285-46-549-711. [DOI] [PubMed] [Google Scholar]
  49. Jones P. G., Smith E. D., Clarke A. M., Kent M. Choledochal cysts: experience with radical excision. J Pediatr Surg. 1971 Apr;6(2):112–120. doi: 10.1016/0022-3468(71)90303-4. [DOI] [PubMed] [Google Scholar]
  50. Karjoo M., Bishop H. C., Borns P., Holtzapple P. G. Choledochal cyst presenting as recurrent pancreatitis. Pediatrics. 1973 Feb;51(2):289–291. [PubMed] [Google Scholar]
  51. Kasai M., Asakura Y., Taira Y. Surgical treatment of choledochal cyst. Ann Surg. 1970 Nov;172(5):844–851. doi: 10.1097/00000658-197011000-00009. [DOI] [PMC free article] [PubMed] [Google Scholar]
  52. Kato M., Onoda K., Mori T., Shima T., Kirimoto K. [2 cases of idiopathic dilatation of the common bile duct]. Iryo. 1970 Mar;24(3):257–262. [PubMed] [Google Scholar]
  53. Kato T., Asakura Y., Kasai M. An attempt to produce choledochal cyst in puppies. J Pediatr Surg. 1974 Aug;9(4):509–513. doi: 10.1016/s0022-3468(74)80016-3. [DOI] [PubMed] [Google Scholar]
  54. Kelly M. J. Case of Caroli's disease. Br Med J. 1971 Nov 13;4(5784):407–407. doi: 10.1136/bmj.4.5784.407. [DOI] [PMC free article] [PubMed] [Google Scholar]
  55. Kirwan W. O. Choledochal cyst. Br J Surg. 1974 Feb;61(2):147–153. doi: 10.1002/bjs.1800610220. [DOI] [PubMed] [Google Scholar]
  56. Klotz D., Cohn B. D., Kottmeier P. K. Choledochal cysts: diagnostic and therapeutic problems. J Pediatr Surg. 1973 Apr;8(2):271–283. doi: 10.1016/s0022-3468(73)80095-8. [DOI] [PubMed] [Google Scholar]
  57. Kolb H., Rehbein F. Choledochuscyste und idiopathische Gallengangsdilatation. Langenbecks Arch Chir. 1972;332:723–728. doi: 10.1007/BF01282718. [DOI] [PubMed] [Google Scholar]
  58. Konvolinka C. W., Pharr W. F. Congenital cystic dilatation of the common bile duct: a review. Am Surg. 1970 Sep;36(9):575–580. [PubMed] [Google Scholar]
  59. Kozloff L., Joseph W. L. Cystic dilatation of the common bile duct in adults. Med Ann Dist Columbia. 1973 Dec;42(12):595–598. [PubMed] [Google Scholar]
  60. Kracmer M. Idiopatické rozsírení vývodných zlucových cest. Rozhl Chir. 1972 Nov;51(11):730–735. [PubMed] [Google Scholar]
  61. Lago T. F., Mannerucci F. La dilatazione cistica del coledoco. Presentazione di un caso di dilatazione totale della V.B.P. Minerva Chir. 1974 Mar 15;29(5):267–275. [PubMed] [Google Scholar]
  62. Lauschke H., Schmidt E. Angeborene Choledochuszyste (kombiniert mit doppelseitigem Magalureter, Megapyelon und einem weit offenen Ductus art. Botalli persistens) Zentralbl Allg Pathol. 1967;110(5):490–496. [PubMed] [Google Scholar]
  63. Lee S. S., Min P. C., Kim G. S., Hong P. W. Choledochal cyst. A report of nine cases and review of the literature. Arch Surg. 1969 Jul;99(1):19–28. doi: 10.1001/archsurg.1969.01340130021005. [DOI] [PubMed] [Google Scholar]
  64. Lindenauer S. M., Lavanway J. M. Surgical management of congenital choledochal cyst. Surgery. 1969 Jun;65(6):972–977. [PubMed] [Google Scholar]
  65. Longmire W. P., Jr, Mandiola S. A., Gordon H. E. Congenital cystic disease of the liver and biliary system. Ann Surg. 1971 Oct;174(4):711–726. doi: 10.1097/00000658-197110000-00014. [DOI] [PMC free article] [PubMed] [Google Scholar]
  66. Longmire W. P., Jr, Mandiola S. Nonobstructive dilatation of the common duct. Surg Clin North Am. 1970 Oct;50(5):1099–1106. doi: 10.1016/s0039-6109(16)39247-7. [DOI] [PubMed] [Google Scholar]
  67. Longmire W. P., McArthur M. S., Bastounis E. A., Hiatt J. Carcinoma of the extrahepatic biliary tract. Ann Surg. 1973 Sep;178(3):333–345. doi: 10.1097/00000658-197309000-00013. [DOI] [PMC free article] [PubMed] [Google Scholar]
  68. Marek S. Cysta choledochu u devítiletého devcete. Cesk Pediatr. 1971 Aug;26(8):403–403. [PubMed] [Google Scholar]
  69. Markoff N. Die idiopathische Choledochuszyste. Hippokrates. 1974 May;45(2):248–249. [PubMed] [Google Scholar]
  70. Martin C., Saint-Supéry G., Babin J. P., Bondonny J. M., Allain D., San Juan B., Cazauran J. M. Une observation anatomo-clinique de kyste congénital du cholédoque. Arch Fr Pediatr. 1972 Apr;29(4):450–451. [PubMed] [Google Scholar]
  71. McKENZIE A. D., SANDY J. T., ANDERSON D. O. Choledochus cyst with associated carcinoma. Can J Surg. 1958 Oct;2(1):88–92. [PubMed] [Google Scholar]
  72. Meeker W. R., Jr, Nighbert E. J. Association of cystic dilatation of intrahepatic and common bile ducts with Laurence-Moon-Biedl-Bardet syndrome. Am J Surg. 1971 Dec;122(6):822–824. doi: 10.1016/0002-9610(71)90454-5. [DOI] [PubMed] [Google Scholar]
  73. Minich R., Gibus J. Wrodzona torbiel przewodu zóciowego wspólnego. Wiad Lek. 1973 Jun 1;26(11):1053–1054. [PubMed] [Google Scholar]
  74. Morosini S. La dilatazione cistica del coledoco. Minerva Chir. 1969 Nov 30;24(22):1317–1322. [PubMed] [Google Scholar]
  75. Moyson F. Le kyste choédocien: résultat d'un drame abdominal? Acta Paediatr Belg. 1973;27(6):369–389. [PubMed] [Google Scholar]
  76. Nakasaki H., Fujii K. [Case of congenital dilation of the common bile duct and review of the literature]. Iryo. 1971 Oct;25(10):769–775. [PubMed] [Google Scholar]
  77. O'Neill J. A., Jr, Clatworthy H. W., Jr Management of choledochal cysts: a fourteen-year follow-up. Am Surg. 1971 Apr;37(4):230–237. [PubMed] [Google Scholar]
  78. Ordóez Acuña A. Dilatación quística congénita del colédoco. Cir Cir. 1971 May-Jun;39(3):991–1012. [PubMed] [Google Scholar]
  79. Paraf A., Trad J., Djian A. Présentation de deux observations de kystes cholédociens. J Radiol Electrol Med Nucl. 1972 Aug-Sep;53(8):667–668. [PubMed] [Google Scholar]
  80. Paris J., Gérard A., Roger J., Voiment Y. M., André G. Dilatation kystique congénitale de l'ampoule de Vater ou cholédococèle. J Radiol Electrol Med Nucl. 1974 Jan;55(1):70–71. [PubMed] [Google Scholar]
  81. Park C. H., Garafola J. H., O'Hara A. E. Preoperative diagnosis of asymptomatic choledochal cyst by rose bengal liver scan. J Nucl Med. 1974 Apr;15(4):310–311. [PubMed] [Google Scholar]
  82. Perquis P., Reymondon L., Ferro R., Moreno R. A propos d'un cas de dilatation kystique congénitale du cholédoque. Bull Soc Med Afr Noire Lang Fr. 1972;17(1):113–116. [PubMed] [Google Scholar]
  83. Prévot J., Mourot M., Hummer J. Dilatation kystique du cholédoque à l'origine d'ictères rétentionnels du nourrisson (a propos de 2 cas. Ann Chir Infant. 1971 Sep-Oct;12(5):323–328. [PubMed] [Google Scholar]
  84. Póltorak J. L., Zakrzewski M. Wrodzona torbiel przewodu zóciowego wspólnego. Pol Przegl Chir. 1972 Mar;44(3):575–577. [PubMed] [Google Scholar]
  85. Quandalle P., Paris J. C., L'Hermine C., Delmotte J. S. Dilatation kystique congénitale du cholédoque traitée par resection. Lille Med. 1972 Nov;17(10):1446–1451. [PubMed] [Google Scholar]
  86. Rabinowitz J. G., Kinkhabwala M. N., Rose J. S. Rim sign in choledochal cyst: additional diagnostic feature. J Can Assoc Radiol. 1973 Sep;24(3):226–230. [PubMed] [Google Scholar]
  87. Radlowska Z., Zalewski T., Winnicki S., Pulwarska E. Torbiel przewodu zóciowego wspólnego odległe wyniki leczenia operacyjnego. Pediatr Pol. 1971 Aug;46(8):1025–1029. [PubMed] [Google Scholar]
  88. Rendl K. H. Zur Operationsmethodik bei kongenitalen Choledochuscysten. Chirurg. 1973 Apr;44(4):182–184. [PubMed] [Google Scholar]
  89. SAKO K., SEITZINGER G. L., GARSIDE E. Carcinoma of the extrahepatic bile ducts; review of the literature and report of six cases. Surgery. 1957 Mar;41(3):416–437. [PubMed] [Google Scholar]
  90. SHIELDS A. B. CONGENITAL CYSTIC DILATATION OF THE COMMON BILE DUCT: FOLLOW-UP IN THREE CASES AND DISCUSSION OF PERTINENT FEATURES. Am J Surg. 1964 Aug;108:142–149. doi: 10.1016/0002-9610(64)90003-0. [DOI] [PubMed] [Google Scholar]
  91. Saito S., Tsuchida Y., Ishida M. [Benign stricture of the lower common bile duct--relationship to cogenital cystic dilation of the common bile and pathognomonic analysis]. Shujutsu. 1970 Sep;24(9):1177–1186. [PubMed] [Google Scholar]
  92. Saubier E., Viard H., Partensky C., Brault A. Kyste de l'hépatocholédoque avec dilation segmentaire congénitale des voies biliaires intra-hépatiques (maladie de Caroli) et hyperlension portale. Lyon Chir. 1971 Jul-Aug;67(4):299–301. [PubMed] [Google Scholar]
  93. Saunders P., Jackson B. T. Rupture of choledochus cyst in pregnancy. Br Med J. 1969 Sep 6;3(5670):573–574. doi: 10.1136/bmj.3.5670.573. [DOI] [PMC free article] [PubMed] [Google Scholar]
  94. Schiewe R., Baudisch E., Ehrhardt G. Angeborene intrahepatische Gallengangszyste mit Steinbildung und maligner Entartung. Bruns Beitr Klin Chir (1971) 1968 May;216(3):264–271. [PubMed] [Google Scholar]
  95. Schiewe R., Göring G. Zur Behandlung kindlicher Choledochuscysten. Chirurg. 1968 Aug;39(8):350–353. [PubMed] [Google Scholar]
  96. Schärli A., Bettex M. Congenital choledochal cyst: reconstruction of the normal anatomy. J Pediatr Surg. 1968 Oct;3(5):604–607. doi: 10.1016/0022-3468(68)90113-9. [DOI] [PubMed] [Google Scholar]
  97. Shah R. C., Mehta A. B., Haribhakti J. B. Choledochal cyst. A report of two cases and review of the literature. Am J Gastroenterol. 1969 Mar;51(3):227–234. [PubMed] [Google Scholar]
  98. Shallow T. A., Eger S. A., Wagner F. B. CONGENITAL CYSTIC DILATATION OF THE COMMON BILE DUCT : CASE REPORT AND REVIEW OF LITERATURE. Ann Surg. 1943 Mar;117(3):355–386. doi: 10.1097/00000658-194303000-00005. [DOI] [PMC free article] [PubMed] [Google Scholar]
  99. Spitz L. The surgical treatment of choledochal cyst. S Afr J Surg. 1972 Sep;10(3):161–165. [PubMed] [Google Scholar]
  100. Stefanini M., Urbas J. E., Crockett F. L. Choledochal cyst with associated anomaly of the head of the pancreas. Am J Gastroenterol. 1970 Nov;54(5):496–499. [PubMed] [Google Scholar]
  101. Suzuki K., Takagi T., Nakajima S., Naito K., Yokota A. [Parapapillay diverticulum and dilatation of the common bile duct without choledocholithiasis]. Nihon Shokakibyo Gakkai Zasshi. 1974 Feb;71(2):108–120. [PubMed] [Google Scholar]
  102. TSARDAKAS E., ROBNETT A. H. Congenital cystic dilatation of the common bile duct; report of three cases, analysis of fifty-seven cases, and review of the literature. AMA Arch Surg. 1956 Feb;72(2):311–327. doi: 10.1001/archsurg.1956.01270200127024. [DOI] [PubMed] [Google Scholar]
  103. Tada S., Yasukochi H., Shida H., Motegi F., Fukuda A. Choledochal cyst demonstrated by I 131 rose bengal scanning. Report of a case. Am J Roentgenol Radium Ther Nucl Med. 1972 Nov;116(3):587–589. doi: 10.2214/ajr.116.3.587. [DOI] [PubMed] [Google Scholar]
  104. Thistlethwaite J. R., Horwitz A. Choledochal cyst followed by carcinoma of the hepatic duct. South Med J. 1967 Aug;60(8):872–874. doi: 10.1097/00007611-196708000-00017. [DOI] [PubMed] [Google Scholar]
  105. Todani T., Tabuchi K., Narisue M., Hirose M. [Congenital dilatation of the common bile duct, with special reference to multiple biliary cysts]. Shujutsu. 1970 Nov;24(11):1406–1412. [PubMed] [Google Scholar]
  106. Todani T., Tabuchi S., Narimatsu M., Kawai T., Nakagawa J. [Congenital choledochal cyst---incidence of cancer and re-evaluation of therapeutic approach]. Shujutsu. 1970 Jun;24(6):763–772. [PubMed] [Google Scholar]
  107. Van Damme J., Gérard J. Ictère obstructif de l'adulte par dilatation kystique congénitale des voies biliaries externes. Acta Gastroenterol Belg. 1969 Jun;32(6):501–516. [PubMed] [Google Scholar]
  108. WILSON F. D., MORRISSEY G. E., MCCONNELL R. W. Bile duct cyst with malignant degeneration. J Iowa State Med Soc. 1956 Feb;46(2):72–78. [PubMed] [Google Scholar]
  109. Waller E. IDIOPATHIC CHOLEDOCHUS CYST: WITH REPORT OF A CASE CURED BY CHOLEDOCHODUODENOSTOMY. Ann Surg. 1917 Oct;66(4):446–463. doi: 10.1097/00000658-191710000-00012. [DOI] [PMC free article] [PubMed] [Google Scholar]
  110. Weber B. B., Soler F. J., Font R. G., Nance F. C. Carcinoma arising in a choledochal cyst. Am J Dig Dis. 1971 Nov;16(11):1019–1025. doi: 10.1007/BF02235015. [DOI] [PubMed] [Google Scholar]
  111. Williams L. E., Fisher J. H., Courtney R. A., Darling D. B. Preoperative diagnosis of choledochal cyst by hepatoscintography. N Engl J Med. 1970 Jul 9;283(2):85–86. doi: 10.1056/NEJM197007092830207. [DOI] [PubMed] [Google Scholar]
  112. Wladziński J., Januszewski M. Przypadek torbieli przewodu zóciowego wspólnego. Wiad Lek. 1974 Feb 15;27(4):373–376. [PubMed] [Google Scholar]
  113. Wooldridge B. F., Jeans V. E. Choledochal cyst. Case reports. Mo Med. 1971 Sep;68(9):687–690. [PubMed] [Google Scholar]
  114. Yao J. K., MacDonald J. A., Prokipchuk E. J. Idiopathic cystic dilatation of the common bile duct: report of a case in a adult. Can J Surg. 1970 Jan;13(1):62–64. [PubMed] [Google Scholar]
  115. Yue P. C. Choledochal cyst: a review of 18 cases. Br J Surg. 1974 Nov;61(11):896–900. doi: 10.1002/bjs.1800611109. [DOI] [PubMed] [Google Scholar]
  116. de Moulin D., de Vos J. Congenital dilatation of the common bile duct: a case report. Arch Chir Neerl. 1971;23(1):1–6. [PubMed] [Google Scholar]

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