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4233 Surgery

A 35-year-old woman presents with pancreatitis. Subsequent endoscopic retrograde cholangiopancreatography (ERCP) reveals the congenital cystic anomaly of her biliary system illustrated in the film below. Which of the following statements regarding this problem is true?

ATreatment consists of internal drainage via choledochoduodenostomy
BMalignant changes may occur within this structure (Correct Answer)
CMost patients present with the classic triad of epigastric pain, an abdominal mass, and jaundice
DCystic dilation of the intrahepatic biliary tree may coexist and is managed in a similar fashion