Choledochocele is an extremely rare congenital lesion of the biliary tree causing abdominal pain, pancreatitis, and obstructive
cholestasis. Traditionally the therapy for this malformation has been surgery. Recently endoscopic therapy has been utilized
alternatively for the treatment of choledocele in adults. We report the case of a 2-year-old girl with a choledochocele who
was treated by endoscopic sphincterotomy and placement of a biliary stent. The prosthesis was removed after 4 months. After
a follow-up of 20 months the patient remains free of symptoms. Our experience suggests that endoscopic treatment of congenital
biliary disease can be performed accurately. Further studies will be necessary to confirm the value of stent implantation
in congenital bile duct stenosis.
Key words: Choledochocele — ERCP — Sphincterotomy — Biliary drainage — Pediatric
Received: 7 June 1995/Accepted: 22 January 1996