Choledochal cysts in adults and their complications

Atkinson, Henry Dushan; Fischer, Craig P.; Jong, C.H.C. De; Madhavan, K.K.; Parks, Rowan W.; Garden, O. James

doi:10.1080/13651820310001144

Cited by 59 publications

(57 citation statements)

References 32 publications

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“…A colangiografia endoscópica retrógrada é o exame de escolha, pois fornece estudo detalhado da anatomia do trato biliar e junção pancreatobiliar sendo, contudo, método invasivo e não isento de riscos. A vantagem da colangiorressonância é que se trata de método não-invasivo, porém não fornece imagens tão boas quanto a endoscópica 2,4,14 .…”

Section: Discussionunclassified

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Cisto de colédoco: relato de caso e revisão da literatura

Gandolfi

Carvalho-Neto

Gandolfi

et al. 2007

ABCD, arq. bras. cir. dig.

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InTRODUÇÃOCistos de colédoco são dilatações congênitas dos ductos biliares, tanto intra quanto extra-hepáticas . É incomum com incidência estimada em 1:100.000 até 1:150.000 nascidos vivos nos países ocidentais 1,2,3 , e 3 vezes mais freqüente no sexo feminino. Pode apresentar-se em qualquer idade, sendo que 2/3 dos casos são diagnosticados durante a primeira década de vida . Nenhuma hereditariedade ou predisposição genética foi estabelecida, apesar de casos de cisto no ducto biliar serem relatados em membros de uma mesma família.Os ductos colédoco e pancreático formam um canal comum fora do duodeno que permite o refluxo de suco pancreático para o sistema biliar, ocasionando aumento da pressão intra-ductal e inflamação, que em conjunto, levariam à dilatação 1,2,4 .A tríade clássica é composta por dor abdominal, icterícia e massa palpável. O cisto pode ser visualizado por vários métodos complementares . A sua grande complicação é a alta taxa de malignização (até 30%) .

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Section: Discussionunclassified

“…Complicações podem ocorrer entre 60% e 80% dos pacientes, destacando-se a perfuração e peritonite, colelitíase, colangite, cirrose biliar, hipertensão portal e malignização 2,3,4,12 . O risco de transformação maligna varia de 2,5% a 28%, dependendo do autor e da série estudada.…”

Section: Discussionunclassified

Cisto de colédoco: relato de caso e revisão da literatura

Gandolfi

Carvalho-Neto

Gandolfi

et al. 2007

ABCD, arq. bras. cir. dig.

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“…Patients who previously had undergone only internal drainage (cystoenterostomy) should undergo excision of the underlying cyst (1,3,6,8). Malignant transformation in patients who underwent cystoenterostomy could be secondary to reflux of in-testinal bacteria and enzymes, through choledochojejunostomy (5).…”

Section: Discussionmentioning

confidence: 99%

“…Female to male ratio is from 3:1 to 5:1 (1,3,(5)(6)(7)(8)(9). Only approximately 20% of cysts are diagnosed in adults; they are more common in children (1).…”

mentioning

confidence: 99%

Bile Duct Cysts

Krawczyk

Arkuszewski

Zieniewicz

et al. 2010

Polish Journal of Surgery

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“…The less frequent ones are the types that usually present asymptomatic [31,32]. They include choledochal diverticulum, choledochocele and the Caroli's disease.…”

Section: Diagnostic Evaluationmentioning

confidence: 99%

Choledochal Cyst: A Report of 3 Cases and a Review of its Treatment and Outcome

Wabada¹,

Abubukar²,

Bwala³

et al. 2017

Surgery Curr Res

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Choledochal cyst (CC) is not common in Africans. Unlike biliary atresia, this condition commonly presents in late infancy and early childhood, and occasionally also in adults. Typical pattern of presentation is with abdominal mass, abdominal pain and seldom intermittent jaundice. These conventional presentations can be sometimes heralded by chollangitis, malnutrition, and failure to thrive in some category of patients with delayed presentation.Case 1 was a 2-month-old girl who developed fluctuating jaundice on the 5th day of life, associated steatorrhoea, and yellowish discolouration of the urine and occasional bilious vomiting. Ten days before presentation she developed low grade fever, excessive crying and refused to suck. She was resuscitated and hepaticoduodenostomy was performed between the second part of the duodenum and the stump of the common hepatic duct.Case 2 was a 4-year-old girl who presented with a 5-month history of fluctuating jaundice associated abdominal pain, epigastric swelling, weight loss and occasional non-bilious vomiting. A retrocolic end-to-side Roux-en-Y hepaticodochojejunostomy was performed after nutritional rehabilitation.Case 3 was a 5-year old girl with intermittent jaundiced noticed 2-months before presentation, right hypochondrial swelling and colicky right sided abdominal pain almost of same duration. Intraoperatively features of likely cirrhotic liver changes in addition to a huge choledochal cyst were seen. An end to side Roux-en-Y hepaticochojejunostomy was established to the stump of the common hepatic duct.All the cases did well after surgery and were discharged. Regardless of the clinical features, and the morphological changes in the liver, excision of the cyst with establishment of free flowing hepatoenterostomy should be done. Patients' general outlook can be immediately improved after excision of the cyst with hepatoenterostomy. Because the complications of caused by bile flow obstruction are remarkably reduced or rather eliminated. We hereby report three cases we recently managed in our centre with complications of choledochal cyst which improved after excision of the cyst with creation of hepatoenterostomy.

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Choledochal cysts in adults and their complications

Cited by 59 publications

References 32 publications

Cisto de colédoco: relato de caso e revisão da literatura

Cisto de colédoco: relato de caso e revisão da literatura

Bile Duct Cysts

Choledochal Cyst: A Report of 3 Cases and a Review of its Treatment and Outcome

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