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Difficulties in the operative diagnosis of congenital atresia of the biliary ductal system

Authors
Journal
The American Journal of Surgery
0002-9610
Publisher
Elsevier
Publication Date
Volume
112
Issue
2
Identifiers
DOI: 10.1016/0002-9610(66)90007-9
Disciplines
  • Medicine

Abstract

Abstract The presence of various degrees of hypoplasia of the biliary system presents particular difficulty in diagnosis and differentiation from biliary atresia. Two cases are presented in which there was a reduction in serum bilirubin after laparotomy with a diagnosis of biliary atresia. One of these patients appears normal two years later. Reexploration and cholangiography revealed a hypoplastic ductal system in both of the patients. Recognition of this entity will be aided by careful cholangiography and dissection. Failure to visualize the biliary ductal system need not presume a fatal diagnosis.

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