Prospective evaluation of common hepatic duct histopathology at the time of choledochal cyst excision ranging from children to adults

Prospective histopathologic study of 65 choledochal cyst patients (children and adults) reveals higher mucosal damage and inflammation in pediatric cases, with dysplasia identified in a 4-month-old infant. Findings suggest children face significant malignancy risk requiring meticulous histologic evaluation and long-term surveillance.