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Two cases of choledochal cyst have been presented. Clinically significant bleeding from esophageal varices occurred in each case. In both patients there was evidence of severe hepatic damage prior to operation, and both of them had been chronically ill. Internal drainage of the choledochal cysts resulted in remarkable improvement in spite of prolonged biliary obstruction.
The difficulties and dangers inherent in the evaluation of needle biopsies of the liver in cases of obstructive jaundice are recalled. Stress is laid upon the importance of a thorough diagnostic evaluation of any child with jaundice. The value of abdominal exploration is emphasized in cases in which the etiology is obscure.
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Received: November 18, 1961
© 1962 Published by Elsevier Inc.