Congenital Dilatation of the Common Bile Duct

Choledochus cyst

“…T o the standard triad of pain, tumour, and jaundice, one can frequently add fever. Hertzler and Maguire (1951) point out that in the older cases, careful history-making reveals previous episodes, usually with characteristic symptoms. It was our youngest patient who had the longest history.…”

“…It is generally considered to-day that choledochus cyst causes recurrent cholangitis and consequent liver damage, and should be treated by operation. Hertzler and Maguire (1951) recommend marsupialization of the cyst as a temporary measure in the acutely ill patient. They consider that anastomosis of the cyst wall to the duodenum (Gross, 1953;Ross and Carling, 1948) is liable to stasis and ascendmg cholangitis, and advocate excision of the cyst and direct anastomosis of the common hepatic or right and left hepatic ducts to the duodenum.…”

Choledochus Cyst

“…Shallow, Eger, and Wagner (1943) found that 75% of cases described in the literature were diagnosed before 25 years of age, and Lichtman (1949) reports that 80% of cases have occurred in females. Hertzler and Maguire (1951) state that in 80% of the reported cases congenital cysts of the common duct occur in patients under 25 years of age and 60% of cases occur in children under the age of 10 years. The most usual presenting symptoms are recurrent jaundice, upper abdominal pain which often resembles biliary colic, and a tumour in the right hypochondrium.…”

Solitary discoid kidney with a single ureter opening into the urethra: Report of a case and comments on the embryology

“…It is generally considered to-day that choledochus cyst causes recurrent cholangitis and consequent liver damage, and should be treated by operation. Hertzler and Maguire (1951) recommend marsupialization of the cyst as a temporary measure in the acutely ill patient. They consider that anastomosis of the cyst wall to the duodenum (Gross, 1953;Ross and Carling, 1948) is liable to stasis and ascendmg cholangitis, and advocate excision of the cyst and direct anastomosis of the common hepatic or right and left hepatic ducts to the duodenum.…”