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Choledochal Cysts in Children

Choledochal Cysts in Children Abstract To the Editor.—Rattner et al1 have stated that "mucosal abnormalities have been described only in adults," suggesting that choledochal cysts in children might represent a different pathologic entity from those found in adults. Our review of 19 cases of choledochal cysts in children reported that the cyst walls "showed fibrous tissue, fragmented elastic fibers and scattered inflammatory cells within granulation tissue. Epithelium was absent or only present as focal remains."2 In this series, infants younger than 1 year of age had associated atresias of the common duct, cystic duct, and gallbladder, suggesting that these patients had a congenital malformation or a perinatal noxious insult. The older children had associated malformations of the pancreatic and common duct junctions, suggesting acquired lesions secondary to this malformation. References 1. Rattner DW, Schapiro RH, Warshaw AL: Abnormalities of the pancreatic and biliary ducts in patients with choledochal cysts . Arch Surg 1983;118:1068-1073.Crossref 2. Barlow B, Tabor E, Blanc WA, et al: Choledochal cyst: A review of 19 cases . J Pediatr 1976;89:934-940.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Choledochal Cysts in Children

Archives of Surgery , Volume 119 (6) – Jun 1, 1984

Choledochal Cysts in Children

Abstract

Abstract To the Editor.—Rattner et al1 have stated that "mucosal abnormalities have been described only in adults," suggesting that choledochal cysts in children might represent a different pathologic entity from those found in adults. Our review of 19 cases of choledochal cysts in children reported that the cyst walls "showed fibrous tissue, fragmented elastic fibers and scattered inflammatory cells within granulation tissue. Epithelium was absent or only present as...
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Publisher
American Medical Association
Copyright
Copyright © 1984 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1984.01390180099017
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor.—Rattner et al1 have stated that "mucosal abnormalities have been described only in adults," suggesting that choledochal cysts in children might represent a different pathologic entity from those found in adults. Our review of 19 cases of choledochal cysts in children reported that the cyst walls "showed fibrous tissue, fragmented elastic fibers and scattered inflammatory cells within granulation tissue. Epithelium was absent or only present as focal remains."2 In this series, infants younger than 1 year of age had associated atresias of the common duct, cystic duct, and gallbladder, suggesting that these patients had a congenital malformation or a perinatal noxious insult. The older children had associated malformations of the pancreatic and common duct junctions, suggesting acquired lesions secondary to this malformation. References 1. Rattner DW, Schapiro RH, Warshaw AL: Abnormalities of the pancreatic and biliary ducts in patients with choledochal cysts . Arch Surg 1983;118:1068-1073.Crossref 2. Barlow B, Tabor E, Blanc WA, et al: Choledochal cyst: A review of 19 cases . J Pediatr 1976;89:934-940.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Jun 1, 1984

References