Characteristics of choledochal cysts in neonates and early
infants
Takuji Todani, Naoto Urushihara, Yoshiki Morotomi, Sadashige Uemura, Takuo
Noda, Kiyoshi Sasaki, Mikiko Yoshikawa
Eur J Pediatr Surg 5: 143-145, 1995
Thirty-six infants with choledochal cyst consisting of
28 babies less than 12 months of age and 8 between 13 and 24 months of age,
were analyzed. Characteristics of cases were as follows: (1) they were usually
of the cystic type, (2) a huge abdominal mass and jaundice with acholic
stool were typically found, (3) no symptom suggesting acute pancreatitis
was observed, (4) amylase levels in bile were usually low, despite the presence
of pancreatobiliary malunion, while other pancreatic enzymes in bile commonly
showed a high concentration, and (5) primary cyst excision and biliary reconstruction
was the treatment of choice, and could be safely performed with favorable
outcomes even in babies less than I year of age.
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