Congenital anomalies of the bile ducts, although not extremely rare, are sufficiently so to make the following cases of interest.
Case 1.—A 15 year old girl was admitted to the New York Post-Graduate Medical School and Hospital on March 11, 1938, because of jaundice. Ten years previously she was studied in this hospital for dysentery. The cause was not discovered. This was followed by a celiac syndrome. Two years later she was readmitted with convulsions. These ceased with general treatment. The child did fairly well in spite of occasional attacks of diarrhea, which persisted for about four years. At the time of her last admission no blood had been present in the stools for six years.
One year previously she had jaundice, with white stools, dark urine and moderate digestive disturbance. The attack subsided in two months. About six months before admission jaundice appeared again and persisted, varying in intensity