Choledochoceles: Are They Choledochal Cysts?

Ziegler, Kerstin; Zyromski, Nicholas J.

doi:10.1016/j.yasu.2011.03.019

Cited by 33 publications

(42 citation statements)

References 64 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The suggested pathogenesis of the remaining types are: i) type II CC could be due to an end stage of a healed prenatal rupture of the wall of the common bile duct, because the type II is just a simple diverticulum on the common bile duct with a narrow or wide stalk; ii) type III which invariably should be called (choledochocele), because it could be due to simple congenital duplication of the duodenum or may be just a variant of duodenal duplication cyst as duodenal or biliary epithelium have been found lining the cyst wall [21]; iii) type V also called (Caroli disease) has been linked to ductal plate malformation in which faulty remodelling, and selective resorption of the ductal plate aid in its development [22]. Hence, types II, III and V has no aetiologic relationship to the common channel theory.…”

Section: Discussion Pathogenesismentioning

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

View full text Add to dashboard Cite

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.

show abstract

Section: Discussion Pathogenesismentioning

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

View full text Add to dashboard Cite

show abstract

“…They are often classified as type III choledochal cysts (23,24). Previous reports have shown that 1-19% of patients with a choledochal cyst are diagnosed with a choledochocele (18)(19)(20). PD is the most common pancreatic duct anomaly, and involves failed fusion of the dorsal and ventral pancreatic ducts.…”

Section: Discussionmentioning

confidence: 99%

“…Choledochoceles are classified as type III choledochal cysts (23,24); however, recent research has suggested that choledochoceles should not be included as choledochal cysts because of differences in their characteristics, such as the age, gender, and complications of affected subjects (20). With regard to etiology, choledochal cysts are considered to be a congenital condition, whereas choledochoceles are affected by innate and acquired factors (20,31).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Ectopic Opening of the Common Bile Duct Accompanied by Choledochocele and Pancreas Divisum

et al. 2016

View full text Add to dashboard Cite

A 32-year-old woman was referred due to abdominal pain and elevated liver enzymes. Computed tomography and magnetic resonance imaging showed ectopic opening of the common bile duct (CBD) into the duodenal bulb. Esophagogastroduodenoscopy showed a hemispheric bulge in the duodenal bulb. Endoscopic retrograde cholangiopancreatography (ERCP) revealed the bulge to be cystic dilatation of the CBD. ERCP also showed no communication between the ventral and dorsal pancreatic ducts. We diagnosed the patient with ectopic opening of the CBD accompanied by choledochocele and pancreas divisum. Endoscopic incision was performed for the treatment of the choledochocele. The patient's symptoms and elevated liver enzymes improved after treatment.

show abstract

“…[8] Whether the choledochocele (type 3 CM) should be included at all in any classification was the subject of a recent North American series. [9] The authors argued that there were so many significant differences when compared with types 1, 2 and 4, particularly age at presentation (invariably as an adult) and gender (predominantly male) that it barely merited the term 'congenital' . Certainly, the distinction between this and a long-standing dilated common channel, coupled with a degree of ampullary stenosis, is difficult.…”

Section: Classification Of Choledochal Malformationsmentioning

confidence: 99%