{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:06:41Z","timestamp":1753877201430,"version":"3.41.2"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2021,12,31]],"date-time":"2021-12-31T00:00:00Z","timestamp":1640908800000},"content-version":"vor","delay-in-days":30,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Choledochal cysts are congenital malformations of the biliary tract that involve aberrant configurations of the pancreaticobiliary ductal system. The pathology exists on a spectrum from fusiform dilation of the common bile duct to multiple dilations involving the intra- and extrahepatic bile ducts with potential risks of malignant transformation and hepatic fibrosis. Advancements in ultrasound technology have increased the incidence of prenatal diagnosis of choledochal cysts. Here, we present the case of a prenatally diagnosed initially asymptomatic Type I choledochal cyst with rapid progression in the neonatal period to a complete gastric outlet obstruction within the first month of life. We demonstrate the feasibility of cyst resection and reconstruction with Roux-en-Y hepaticojejunostomy in the neonatal age group. Finally, we discuss management of the case based on evolving imaging findings and laboratory evidence of impending liver dysfunction.<\/jats:p>","DOI":"10.1093\/jscr\/rjab547","type":"journal-article","created":{"date-parts":[[2021,12,8]],"date-time":"2021-12-08T04:25:56Z","timestamp":1638937556000},"source":"Crossref","is-referenced-by-count":4,"title":["Prenatal diagnosis of rapidly enlarging choledochal cyst with gastric outlet obstruction"],"prefix":"10.1093","volume":"2021","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0098-3388","authenticated-orcid":false,"given":"P Nina","family":"Scalise","sequence":"first","affiliation":[{"name":"Department of General Surgery, Boston Children\u2019s Hospital, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alex","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Boston Children\u2019s Hospital, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Corinne","family":"Neumeyer","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Boston Children\u2019s Hospital, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio R","family":"Perez-Atayde","sequence":"additional","affiliation":[{"name":"Department of Pathology, Boston Children\u2019s Hospital, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jamie R","family":"Robinson","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Boston Children\u2019s Hospital, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heung Bae","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Boston Children\u2019s Hospital, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alex G","family":"Cuenca","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Boston Children\u2019s Hospital, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,12,31]]},"reference":[{"key":"2021123101580296100_ref1","doi-asserted-by":"crossref","first-page":"57","DOI":"10.2214\/ajr.119.1.57","article-title":"Choledochal cyst: a concept of etiology","volume":"119","author":"Babbitt","year":"1973","journal-title":"Am J Roentgenol Radium Ther Nucl Med"},{"key":"2021123101580296100_ref2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.epsc.2015.11.001","article-title":"Prenatal diagnosis of a giant choledochal cyst","volume":"4","author":"Ruiz","year":"2016","journal-title":"Journal of Pediatric Surgery Case Reports"},{"key":"2021123101580296100_ref3","doi-asserted-by":"crossref","first-page":"1167","DOI":"10.1016\/j.jamcollsurg.2014.04.023","article-title":"Choledochal 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Pediatr Surg"},{"key":"2021123101580296100_ref7","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1007\/s003830050354","article-title":"Rapid enlargement of a choledochal cyst: antenatal diagnosis and delayed primary excision","volume":"13","author":"Hamada","year":"1998","journal-title":"Pediatr Surg Int"},{"key":"2021123101580296100_ref8","doi-asserted-by":"crossref","first-page":"239","DOI":"10.3345\/kjp.2016.59.5.239","article-title":"A giant choledochal cyst in infancy: a case report","volume":"59","author":"Yurttutan","year":"2016","journal-title":"Korean J Pediatr"},{"key":"2021123101580296100_ref9","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1016\/S0022-3468(83)80187-0","article-title":"Antenatal diagnosis and early surgery for choledochal cyst","volume":"18","author":"Howell","year":"1983","journal-title":"J Pediatr 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