Abstract
We have seen two girls, with fusiform dilatation of the common bile duct. One child also had saccular dilatation of her intrahepatic bile ducts. Each child had suffered from recurrent bouts of abdominal pain and an episode of jaundice, and had an elevated serum amylase prior to operation. Unexplained pancreatitis in children should lead to investigation of the biliary tract. It may be wise to perform an operative choleangiogram on all patients with choledochal cysts to delineate the intrahepatic bile ducts, which may also be involved with saccular dilatation.
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