Duodenal duplication with bile duct obstruction and keratinaceous casts.
We report an unusual case of duodenal duplication presenting in a newborn with duodenal and bile duct obstruction. The duplication and biliary tract were filled with keratinaceous casts. To our knowledge, such an association has not been previously reported; this case demonstrates the importance of confirming bile duct patency during operations to remove duodenal duplications.
Division Pediatric Surgery, Washington University School of Medicine and the St. Louis Children's Hospital, One Children's Place, 63110-1077, St. Louis, MO, USA.
M A
MA
Skinner
J L
JL
Grosfeld