Les dilatations kystiques congénitales des voies biliaires

Mannai, Saber; Kraiem, T.; Gharbi, Lassad; Haoues, Noomen; Mestiri, Hafedh; Khalfallah, Mohamed Tahar

doi:10.1016/j.anchir.2006.03.008

Cited by 5 publications

(3 citation statements)

References 32 publications

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“…Le traitement des formes localisées au foie gauche ne pose pas de problème, il se fait le plus souvent avec succès par une hépatectomie gauche [6,[8][9][10]. L'association d'une dérivation biliodigestive (anse en Y) à l'hépatectomie est retenue, en cas d'extension des lésions à la convergence biliaire, en cas de réinsertion nécessaire d'un canal biliaire segmentaire ouvert dans la tranche de section hépatique ou après résection d'une dilatation kystique de la VBP.…”

Section: Discussionunclassified

The role of surgery in localized form Caroli’s disease

Alami

Benamr

Mouslik

et al. 2010

J Afr Hepato Gastroenterol

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La maladie de Caroli est une dilatation kystique segmentaire congénitale des voies biliaires intrahépatiques. C'est une cause rare de cholestase chronique et de lithiases intrahépatiques. Nous rapportons deux cas de maladie de Caroli monolobaire gauche révélée par des poussées d'angiocholite atypique. Une hépatectomie gauche a été réalisée, d'emblée dans un cas, après des gestes chirurgicaux et endoscopiques infructueux dans l'autre. Le diagnostic préopératoire repose sur l'imagerie, mais seule l'étude anatomopathologique permet de le confirmer et de dépister une néoplasie. Le traitement logique de la maladie de Caroli monolobaire est la résection complète des régions atteintes qui peut être assurée avec succès par la résection hépatique. Mots clés Maladie de Caroli · Dilatation des voies biliaires intrahépatiques · HépatectomieAbstract Caroli's disease is a segmental congenital cystic dilatation of the intrahepatic biliary tree. It is a rare cause of chronic cholestasis and intrahepatic gallstones. We report two cases of Caroli's disease localized to the left half of the liver, revealed by recurrent atypical cholangitis. A left hepatectomy was performed at once in one case and after multiple unsuccessful endoscopic and surgical acts in the other case. The preoperative diagnosis was based on the imaging study, but only histopathology can confirm and track neoplasia. The logical treatment of the localized form of Caroli's disease is the complete resection of the affected lobe, which can be successfully achieved by partial hepatectomy.

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Section: Discussionunclassified

The role of surgery in localized form Caroli’s disease

Alami

Benamr

Mouslik

et al. 2010

J Afr Hepato Gastroenterol

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“…They are most often described in children with a clear predominance of women (four girls for an affected boy) [2]. Many theories have been proposed to explain the origin of these malformations and the most commonly accepted is that which was advanced by Babbit in 1969 and which incriminated an anomaly of the biliopancreatic junction [3]. Their congenital nature is underlined by the discovery of some cases on antenatal ultrasound.…”

Section: Introductionmentioning

confidence: 99%

Abdominal Mass Revealing an Enormous Cystic Dilatation of the Common Bile Duct

2021

Ann Case Report

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We present a clinical case (new born) of female at 11 months of life for an abdominal mass. In this context, we discuss the surgical procedure step by step. Cystic dilatation of the common bile duct can be defined as pseudo aneurysmal congenital ectasia biliary tract, a rare condition first described in 1723 by VATER. In the light of this presentation and after a review of the literature, we highlight the rarity of cystic dilation of the bile duct. It may be misunderstood. The diagnosis is most often only carried out intra operatively. Left untreated, the condition can lead to secondary biliary cirrhosis. The treatment is surgical and the current trend is unanimous: the radicality of the gesture by resection of the cyst when it is possible with hepatico-jejunal anastomosis.

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“…It is considered as the rarest congenital cyst of the biliary tract by 1.4% [1]. It corresponds to type 3 in Todani's classification [2]. Its diagnosis is difficult because of the absence of specific clinical signs.…”

Section: Introductionmentioning

confidence: 99%

Choledochal cyst: A difficult diagnosis

Ali¹,

Rouibaa²,

Bekkar³

et al. 2013

OJGas

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Choledochal cyst is defined as a cystic dilatation of the distal common bile duct protruding into the duo- denum. It is considered as the rarest congenital cyst of the biliary tract by 1.4%. We report a 46 years old woman who presented with recurrent jaundice associated with abdominal pain of 07 years duration. The liver function tests showed cholestasis. The abdominal scan and Biliary MRI revealed a dilatation of intrahepatic, pancreatic ducts and a dilatation of the common bile duct with a stenosis in its the lower part. The diagnosis of a common bile duct cholangiocarinoma was mentioned. The gastroscopy revealed a stenosed duodenal bulb not allowing us to perform an echo endoscopy and ERCP. An intraoperative cholangiography illustrating a cystic dilatation of the papillary region in which exist a separate protrusion of the choledochal and wirsung ducts. Therefore, we didn’t accomplish the cephalic duodeno-pancreatectomy and we decided to realize a partial resection of the papilla. The histolological examination proved the absence of any tumoral lesion and the presence of biliary mucosa layered the internal surface of the cyst. The patient is still asymptomatic after one year of the surgery.

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Les dilatations kystiques congénitales des voies biliaires

Cited by 5 publications

References 32 publications

The role of surgery in localized form Caroli’s disease

The role of surgery in localized form Caroli’s disease

Abdominal Mass Revealing an Enormous Cystic Dilatation of the Common Bile Duct

Choledochal cyst: A difficult diagnosis

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