Abstract
The case was a female born at the 39th week with weight of 3,040g. At 6 hours after the birth, she developed cyanosis followd by shock condition and was hospitalized. Her symptoms were improved by treatments, but a mass was palpated at her right hypochondrium, and jaundice and white feces were noted. RI examination at the initial stage showed bilialy obstruciton. The subsequent ultrasonic examination and the repeated RI sintigram illustrated the dilated commonn bile duct. At the age of 51 days, cholecystectomy and drainage operation were conducted. The surrounding tissues in the abdomen showed precipitation of bile pigments which suggested perforation of bile duct. Contrast radiography demonstrated the dilatation of common bile duct 10mm in diameter. At 4mounths of her age, the dilated choledochus was resected and Roux-en-Y hepatico-jejunostomy was conducted. After one year from the operation, she is in good condition.