Choledochal cyst as a diagnostic pitfall: a case report

Waidner, Uta; Henne‐Bruns, Doris; Buttenschoen, Klaus

doi:10.1186/1752-1947-2-5

Cited by 6 publications

(12 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The CECT review in referral hospital revealed type I choledochal cyst that was managed by Cholecystectomy with Cystectomy with Roux-en-Y hepaticojejunostomy. 16 There is another case report by Fransisca J. Siahaya et al of uncommon mixed type I and II choledochal cyst that was not taken care of during laparoscopic Cholecystectomy and subsequently needed second surgery after 02 months. 17 In the present case report, with the initial diagnosis of cholelithiasis with choledocholithiasis we performed Cholecystectomy with choledochotomy and retrieval of CBD stone followed by closure of choledochotomy over a T-tube.…”

Section: Discussionmentioning

confidence: 99%

Missed choledochal cyst: a rare presentation and review of literature

et al. 2014

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Missed choledochal cyst: a rare presentation and review of literature

et al. 2014

View full text Add to dashboard Cite

“…And depending on cyst type (Todani type IV, V), further intervention may be necessary. Cholecystectomy is carried out due to the high risk of associated gall bladder malignancy [17].Likewise among all patients we operated complete cyst excision with cholecystectomy followed by biliary reconstruction using Roux-en-Y hepaticojejunostomy was performed. We recommend the same as the main stay of treatment for choledochal cyst Type I and Type IV.…”

Section: Discussionmentioning

confidence: 99%

Choledochal Cyst: A Retrospective Study Case Series

2017

IJSR

View full text Add to dashboard Cite

Background and Objectives: Choledochal cyst is an uncommon congenital malformation of biliarysystem, involving cystic dilatation of intrahepatic and/or extra hepaticbile duct. The estimated incidence is one in 1000 live birth in Asian population [1-2] with female to male ratio is 3:1. The objective of this study is to study the presentation, diagnosis, treatment and outcomes of choledochal cyst in our tertiary care center. Materials and Methods: A retrospective review ofpatients, from Jan 2012 to April 2017, who were diagnosed as Choledochal cyst and treated by surgical intervention and their outcomes,in our tertiary care center. Results: We analyzed 16 cases of choledochal cyst. The condition commonly affected the pediatric age group (0 to 10 years)with female preponderance. Most common presenting symptom was pain in abdomen (75%) and jaundice (53%). However the classical triad of abdominal pain, jaundice, and an abdominal mass was not seen in any of the cases. Ultrasonography was diagnostic in all cases. Todani type I cyst was the most common type. Elevenout of 16 cases underwent complete cyst excision with cholecystectomy and Roux-en-Y hepaticojejunostomy without any major complication, however so many cases were not operated due to, not fit for surgery, not willing for surgery etc. Conclusion: Choledochal cyst is a clinical condition occurs, commonly in younger age group that is conveniently diagnosed on ultrasound and has a rewarding outcome if operated.

show abstract

“…22 Other imaging modalities like Endoscopic Retrograde Cholangiopancreatography (ERCP) or MRCP can precisely visualize the extra hepatic bile duct. 9 MRCP has been advocated as the ideal and non-invasive complete diagnostic modality for choledochal cyst as it ensures accurate visualization of the entire pancreatobiliary system. 21,23 These investigations could not be done in any of the patients due to lack of these facilities at our center at that time.…”

Section: Jcms Nepal 2017;13(1):174-8 Choledochal Cyst: Clinical Presementioning

confidence: 99%

“…Ultrasonography (USG) is usually the first examination and is a very sensitive (71 to 97%) in the detection of choledochal cyst. 9,18 A properly performed high resolution USG is the best screening test. 20 Le et al 21 described 38 cases of choledochal cyst where in all cases USG was the only diagnostic modality.…”

Section: Original Research Articlementioning

confidence: 99%

“…6 The main diagnostic tool for detection of a choledochal cyst, in childhood, is ultrasonography. 9,10 Ultrasonography will confirm the presence of an abnormal cyst and magnetic resonance cholangiopancreatography (MRCP) will reveal the anatomy. 6 Complete cyst excision with cholecystectomy followed by biliary reconstruction using Roux-en-Y hepaticojejunostomy is the treatment of choice for the extra hepatic component of the disease (type I and type IV Choledochal cyst).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Choledochal Cyst: Their clinical presentation, diagnosis and treatment in central Nepal: a retrospective study

Kumar¹,

Jalan²,

Patowary³

2017

J Coll Med Sci-Nepal

View full text Add to dashboard Cite

Background & Objectives:Choledochal cyst is a r ar e congenital malformation involving the cystic dilatation of intrahepatic and/ or extrahepatic bile duct .The estimated incidence is one in 1000 live birth in Asian population with female to male ratio 3:1. The objective of the study was to study the presentation, diagnosis, treatment and outcome of choledochal cyst in College of Medical Sciences, Bharatpur, Nepal Materials & Methods: A r etr ospective r eview of the r ecor ds of all the patients who were diagnosed as choledochal cyst and underwent medical or operative intervention in our hospital from January 2013-January 2015. Results: We analyzed ten cases of choledochal cyst. The condition commonly affected the age group of six to ten years with female preponderance (70%). Most common presenting symptom was pain abdomen (100%) and jaundice (50%). However classical triad of abdominal pain, jaundice, and an abdominal mass was not seen in any of the cases. Ultrasonography was diagnostic in all cases. Todani type I cyst was the most common type. Nine out of ten cases underwent complete cyst excision with cholecystectomy and Roux-en-Y hepaticojejunostomy without any major complication. Conclusion: Choledochal cyst is a clinical condition that is conveniently diagnosed on ultrasound and has a rewarding outcome if operated

show abstract

Choledochal cyst as a diagnostic pitfall: a case report

Abstract: Introduction: Choledochal cysts are rare congenital anomalies. Their diagnosis is difficult, particulary in adults.

Cited by 6 publications

References 9 publications

Missed choledochal cyst: a rare presentation and review of literature

Missed choledochal cyst: a rare presentation and review of literature

Choledochal Cyst: A Retrospective Study Case Series

Choledochal Cyst: Their clinical presentation, diagnosis and treatment in central Nepal: a retrospective study

Contact Info

Product

Resources

About