Tm. Tsang et al., OBLITERATION OF THE DISTAL BILE-DUCT IN THE DEVELOPMENT OF CONGENITALCHOLEDOCHAL CYST, Journal of pediatric surgery, 29(12), 1994, pp. 1582-1583
The authors report the first case of antenatally diagnosed choledochal
cyst having evidence of early fetal bile drainage and complete oblite
ration of the distal bile duct. This disputes the traditional hypothes
is of reflux of pancreatic enzymes and supports the recent theory of p
rimary obstruction as the etiologic cause of choledochal cyst. Coexist
ing congenital hypothyroidism and pulmonary stenosis had not been repo
rted previously.