Endoscopic Treatment of Gallstone-Impacted Choledochocele Precisely Diagnosed by Endoscopic Ultrasonography

Tanno, Satoshi; Maguchi, H; Obara, Takao; Fujii, Takehiro; Santos, Sonia Barbosa dos; Itoh, Akemi; Nishino, Noriyuki; Arisato, Satoshi; Ura, Hideki; Kohgo, Yutaka

doi:10.1055/s-2007-1005524

Cited by 2 publications

(1 citation statement)

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“…The established therapy of a symptomatic choledochocele is laparotomy, duodenotomy and excision ofthe choledochocele in the sense of an internal marsupialization, possibly combined with sphincteroplasty (3). Successful endoscopic therapy has been reported with increasing frequency since the mid 1980s, for instance as endoscopic sphincterotomy or endoscopic removal of the cyst with a diathermy loop (3,10,31). Endoscopic therapy for choledochoceles was first described by Dehyle in 1994 (6) and repeated successfully for the first time in two patients by Nagasawe in 1983 (20).…”

Section: Therapymentioning

confidence: 99%

Choledochocele - A Rare Cause of Necrotising Pancreatitis in Childhood

Weißer¹,

Bennek²,

Hörmann³

2000

Eur J Pediatr Surg

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Recurring complaints of unknown origin in the upper abdomen during childhood are not frequent. Choledochoceles, or type III choledochal cysts, are rare congenital abnormalities of unclear aetiology. They are rarely considered in the differential diagnosis of upper abdominal symptoms in childhood. Only 130 cases of choledochoceles have been reported in world literature to date. Only 20% of these patients were children or adolescents. The symptoms do not specifically suggest a choledochocele, and are usually attributed to other disorders of the upper intestinal tract, frequently resulting in a delayed diagnosis. We present the case of a 10-year old girl in whom a congenital choledochocele was diagnosed by gastro-intestinal studies and endoscopic retrograde cholangiopancreatography (ERCP) following a 2-years history of recurrent pancreatitis. Various types of choledochoceles are presented in the literature, classified according to morphology and histology. Most authors consider them to be a form of choledochal cyst. Their embryonic development is related to that of congenital duodenal diverticula. Although congenital intraluminal duodenal dilatations are of known oncogenic significance, only two cases of adenocarcinoma arising from a choledochocele have been described to date. Established treatment of large choledochoceles in childhood is transduodenal marsupialization.

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Section: Therapymentioning

confidence: 99%