Choledochal Cyst Mimicking a Pancreatic Pseudocyst

Kepczyk, Thomas; Angueira, Carlos E.; Kadakia, Shailesh C.; Miller, George H.; Melenson, Gerald

doi:10.1097/00004836-199503000-00014

Cited by 5 publications

(6 citation statements)

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“…Women outnumber men in most of the studies [9]. Acute pancreatitis is seen in 30-40% of patients [10]. In our study 2 out of 8 patients had pancreatitis.…”

Section: Discussionsupporting

confidence: 41%

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Choledochal Cysts: Our Experience

Pujahari

Singh

Bangaraswamy

et al. 1999

Medical Journal Armed Forces India

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Eight patients of choledochal cyst have been diagnosed and six have been managed surgically. There were two children and six adults. Both the children had Type I cyst. They were managed by excision of the cysts. One lady with associated stone and carcinoma of the gall bladder underwent radical cholecystectomy with excision of segments IV and V of liver. Second lady with intrahepatic porcelain gall bladder had a choledochocele and was treated by transduodenal sphincteroplasty. Fifth patient, an 82 years old man with symptomatic gall stone with Type I choledochal cyst was subjected to just a cholecysto-jejunostomy. A 54 years old man with a Type IV cysts has undergone excision of the cyst. In patients undergoing excision of choledochal cysts, the biliary tract was reconstructed by a Roux-en-Y hepaticojejunostomy. Two of our patients never turned up for surgery. All the operated patients were asymptomatic during the follow-up period of 6 months to 24 months.

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“…Women outnumber men in most of the studies [9]. Acute pancreatitis is seen in 30-40% of patients [10]. In our study 2 out of 8 patients had pancreatitis.…”

Section: Discussionsupporting

confidence: 41%

“…In our study 2 out of 8 patients had pancreatitis. In one patient choledochal cyst was confused as a pseudocyst both in ultrasound and computerised tomogram scan with only one such case report in the literature [10]. The delay in the diagnosis in adults is due to the nonspecific symptoms.…”

Section: Discussionmentioning

confidence: 97%

Choledochal Cysts: Our Experience

Pujahari

Singh

Bangaraswamy

et al. 1999

Medical Journal Armed Forces India

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“…In this schema, patients with a type I cyst have an extrahepatic biliary dilatation that can be divided into three groups: (A) cystic dilatation of the entire common bile duct, (B) focal segmental dilatation of the common bile duct, and (C) fusiform dilatation of the extrahepatic biliary tree. In most series,1,2,3,4, this is the most common type of choledochal cyst, accounting for between 40% and 80% of all cases. A type II cyst is a true diverticulum of the common bile duct and is quite rare (<2%).…”

Section: Classificationmentioning

confidence: 99%

“…Choledochal cysts are cystic dilatations of the biliary tree. The disease is much more common in Asians, with a reported incidence of 1 per 1000 admissions in Japan, as compared to 1 in 13000 in the United States 1,2. The disease is four times more common in females, and in the past, was seen in children, with the classic triad of a right upper quadrant mass, abdominal pain, and jaundice.…”

Section: Introductionmentioning

confidence: 99%

Choledochal cyst disease: A review

Lipsett

Cameron

1996

J Hep Bil Pancr Surg

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Abstract:The authors present a review of the classification, etiology, presentation, treatment and long-term outcome of children and adults with choledochal cyst disease. Unlike children, adults often present with acute bitiary tract symptoms or pancreatitis. The treatment of choice remains extrahepatic cyst excision and biliary bypass. This treatment has excellent long-term results that minimize the development of malignancy.

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“…1 This rare pathology, which is well defined as a congenital cystic dilatation of the biliary tree, may be overlooked, erroneously diagnosed, or detected unexpectedly during operation. [2][3][4] Its possibility must be considered during the diagnosis of a cystic mass in the hepatobiliary area. The importance of the issue led us to reexamine all our clinical material, the existing literature, and available up-to-date information.…”

Section: Introductionmentioning

confidence: 99%

Choledochal cysts in adults and the importance of differential diagnosis

Durgun

Görgün

Kapan

et al. 2002

Journal of Hepato-Biliary-Pancreatic Surgery

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Contemporary approaches to treating choledochal cysts focus on total removal of the cyst. In a country where hydatic diseases are endemic, hepatobiliary cystic lesions are often misdiagnosed clinically and radiologically as hydatid cysts. Considering that percutaneous and laparoscopic approaches are being increasingly adopted for treatment of hydatid cysts, the problematic area must be subjected to thorough examination for cystic lesions. The possibility of choledochal cysts must always be kept in mind; otherwise, an unfavorable process may begin for both patient and surgeon.

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Choledochal Cyst Mimicking a Pancreatic Pseudocyst

Cited by 5 publications

References 0 publications

Choledochal Cysts: Our Experience

Choledochal Cysts: Our Experience

Choledochal cyst disease: A review

Choledochal cysts in adults and the importance of differential diagnosis

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