Congenital Cystic Dilatation of the Common Duct (Choledochal Cyst)

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Abstract
Congenital cystic dilatation of the common bile duct is a rare anomaly but it may simulate usual types of acute or chronic biliary disease in the adult. The general surgeon, unexpectedly confronted with this lesion at the time of anticipated elective cholecystectomy, might have difficulty both in recognizing this anomaly and in selecting the surgical procedure of choice. Attempting to excise the cyst is both dangerous and unjustified, since excellent results are achieved by cystoduodenostomy. For these reasons, two recent and unusual cases treated at this clinic seem worthy of presentation. To our knowledge, this condition occurred in the oldest patient yet reported. Report of Cases Case 1. —A 43-year-old white woman initially entered this hospital in February, 1955, complaining of recurrent episodes of right subcostal pain. She dated her symptoms back to 18 months prior to admission, when she noted the onset of recurrent attacks of right upper quadrant

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