Choledochal Cyst Complicating a Twin Gestation

Jl, Angel; Ra, Knuppel; Trabin, Jay R.

doi:10.1097/00007611-198504000-00025

Cited by 13 publications

(9 citation statements)

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“…5 It has been suggested that pregnancy may precipitate and exaggerate the symptoms of choledochal cyst. 2 The degree of cystic dilation during pregnancy is often greater than is usually described in nonpregnant cases. 16 This has also been hypothesized by other authors, who believe the enlarging pregnant uterus may cause biliary outflow obstruction and induce further dilation, precipitating or aggravating symptoms in a previously asymptomatic choledochal cyst.…”

Section: Discussionmentioning

confidence: 99%

“…16 This has also been hypothesized by other authors, who believe the enlarging pregnant uterus may cause biliary outflow obstruction and induce further dilation, precipitating or aggravating symptoms in a previously asymptomatic choledochal cyst. 2,7 Patients have also presented in the first or early second trimester when uterine size could not be the cause of biliary obstruction, suggesting a nonobstructive etiology. 11 As shown in Table 1, 12 of 14 reported cases were nulliparous, and 9 of 15 cases were diagnosed in the second trimester.…”

Section: Discussionmentioning

confidence: 99%

“…period is rare. [2][3][4][5][6][7][8][9][10][11][12][13][14] Choledochal cysts presenting during pregnancy pose an increased risk to both the mother and developing fetus. 2,4 The clinical presentation is often nonspecific, and physical and radiologic examinations are limited during pregnancy because of the presence of the gravid uterus.…”

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confidence: 99%

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Choledochal Cyst Diagnosed and Conservatively Treated during Pregnancy

Nasu¹,

Matsuki²,

Kawano³

et al. 2004

Am J Perinatol

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We report herein a rare case of choledochal cyst diagnosed at 14 weeks gestation and treated with percutaneous transhepatic drainage until postpartum. A 26-year-old primigravid woman at 14 weeks gestation presented with epigastric pain, slight fever, and nausea of 3 days duration. Abdominal ultrasonography revealed a 6-cm-diameter cystic mass between the porta hepatis and the pancreas head, which was diagnosed as a type I choledochal cyst. At 18 weeks of gestation, her upper abdominal pain became severe, and the size of the choledochal cyst increased to 12 cm in diameter. Laboratory data revealed a biliary obstruction. Percutaneous transhepatic drainage was performed immediately. She delivered a healthy male baby by elective cesarean section at 37 weeks of gestation. At 6 weeks postpartum, the patient underwent surgical excision of the choledochal cyst, cholecystectomy, and formation of a Roux-en-Y hepaticojejunostomy. Although choledochal cysts are rare during pregnancy, obstetricians should be familiar with the condition to ensure prompt diagnosis and adequate definitive management, given that the implications of missed or delayed diagnosis may be detrimental to both mother and fetus.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Choledochal Cyst Diagnosed and Conservatively Treated during Pregnancy

Nasu¹,

Matsuki²,

Kawano³

et al. 2004

Am J Perinatol

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“…The occurrence of choledochal cysts in twins [41], in siblings, and their detection in utero [42,43] supports that, at least in some children, a genetic abnormality [44][45][46] leads to a developmental abnormality including biliary papillomatosis [47,48], leading to cyst formation in the developing fetus. The occurrence of choledochal cysts in twins [41], in siblings, and their detection in utero [42,43] supports that, at least in some children, a genetic abnormality [44][45][46] leads to a developmental abnormality including biliary papillomatosis [47,48], leading to cyst formation in the developing fetus.…”

Section: Pathophysiologymentioning

confidence: 97%

Biliary Disease in Infants and Children

Superina¹

2006

Diseases of the Gallbladder and Bile Ducts

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In judicandus ye are a physician, in curando, a surgeon. The patient asks for cure -surgery -and not for theory -medicine -it is the doctor who needs the latter. That is: there can be no surgeon who is not also a physician; the latter begets the surgeon and the surgeon tests the physician by the result of his work. Paracelsus O B J EC T I V E S• Become familiar with the diagnostic approach to the child with jaundice • Understand the pathogenesis and treatment strategies used in children with biliary atresia • Classify and discuss the treatment strategies in children with choledochal cysts • List the varying types of progressive familial intrahepatic cholestasis (PFIC)

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“…It seems to occur more frequently in females, presentation in pregnancy or the postpartum period is rare [1]. Obviously, infected choledochal cyst during pregnancy pose an increased risk to the pregnant woman and her developing fetus unless proper treatments have been adopted timely [2]. In general, some radiologic examinations are forbidden because of the presence of gravid uterus.…”

Section: Introductionmentioning

confidence: 99%

Emergent Percutaneous Transhepatic Drainage for Superinfected Choledochal Cyst during Pregnancy

Zhang¹,

Zhong²,

Kong³

2017

J Univer Surg

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Congenital choledochal cyst combined acute obstructive superlative cholangitis (AOSC) is quite seldom during pregnancy, but will push both pregnant women and fetal into life-threatening risk. A pregnant woman with acute infected choledochal cyst suffered persistent abdominal pain and associated serious infectious shock, which was successfully rescued and managed preoperatively by sonoguided percutaneous trans-hepatic choledochal cyst drainage (PTHCCD), is reported here. The use of this technique in the optimize treatment for pregnant women such as this case is proposed.

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Choledochal Cyst Complicating a Twin Gestation

Cited by 13 publications

References 0 publications

Choledochal Cyst Diagnosed and Conservatively Treated during Pregnancy

Choledochal Cyst Diagnosed and Conservatively Treated during Pregnancy

Biliary Disease in Infants and Children

Emergent Percutaneous Transhepatic Drainage for Superinfected Choledochal Cyst during Pregnancy

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