Abstract

Five cases of choledochal cyst occurring in childhood are discussed with pertinent roentgenographic and clinical findings. The clinical manifestations were (1) in early infancy—obstructive jaundice, and (2) in children—the classical triad of jaundice, abdominal pain and mass. The most valuable roentgenographic findings were (1) on plain film of the abdomen—mass in the right upper quandrant., (2) on barium meal study—anterior, inferior and left sided displacement of gastric antrum and duodenal bulb, (3) lateral displacement of descending duodenum, and (4) inferior displacement of the third portion of the duodenum. Direct demonstration of the cyst may be accomplished by intravenous cholangiography, direct percutaneous cystography, and possibly oral cholecystography.

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