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  • Title: [Abnormal choledocho-pancreatico ductal junction causative of cystic-cylindric dilatation of intra- and extrahepatic bile ducts].
    Author: Gharib M, Ebel KD, Engelskirchen R, Bliesener JA.
    Journal: Monatsschr Kinderheilkd; 1982 Oct; 130(10):783-8. PubMed ID: 7177121.
    Abstract:
    During the last 5 years there were 6 patients found to have abnormal ductal junction of the choledochus into the pancreas. Clinical signs were: repeating upper abdominal pain, intermittent icterus, signs of pancreatitis and/or palpable tumor. Sonography is the initial examination to show up a dilatation of the intra- and extrahepatic bile ducts. But intraoperative cholangiography alone reveals the true condition of the choledocho-pancreatico ductal junction. Only after this procedure the therapeutic step of a choledocho-jejunostomy should be done.
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