Unusual variant of choledochal cyst in a child: A case report, in Tertiary Specialized Hospital, Ethiopia

Tigabie, Workye; Tesfay, Hadush; Tamrat, Dagnachew; Raya, Kassahun; Negussie, Tihitena

doi:10.1016/j.ijscr.2020.09.023

Cited by 3 publications

(5 citation statements)

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“…There are five types according to the Todani's classification (Figure 2). 4 The symptoms are non-specific, such as recurring upper abdominal pain, malaise with nausea and vomiting, which can also be found in biliary tract colic, bile duct abnormalities, or other gastro-intestinal ailments, delaying proper diagnosis. 5 Most recent research indicate that nausea, vomiting, and abdominal pain are the most prevalent presenting symptoms in older children (1-18 years of age at presentation), while abdominal mass is predominate in newborns (1 year of age at presentation).…”

Section: Discussionmentioning

confidence: 99%

“… 3 Overall, 80% of cases are infants and young children. 4 Clinicopathological characteristics vary depending on their age. Abdominal discomfort, jaundice, and an abdominal mass are the most common symptoms in children.…”

Section: Introductionmentioning

confidence: 99%

“…Ultrasonography, endoscopic retrograde cholangiopancreatography (ERCP) and magnetic resonance cholangiopancreatography (MRCP) are diagnostic techniques. 4 Complete cyst excision and laparoscopic Roux-en-Y hepaticojejunostomy is safe for both infants and children. 2 …”

Section: Introductionmentioning

confidence: 99%

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Case Report: A rare case of choledochal cyst

Tariq¹,

Twayana

Sunuwar³

et al. 2022

F1000Res

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Background: Choledochal cysts are dilated portions of the biliary tract that account for 1% of all benign biliary diseases. It is prevalent among Asian and female populations and the incidence is 1:100,000–150,000. Among the different types, only 15–35% of all choledochal cysts are type IV cysts, with type I being the most common representing 50–80%. Clinical presentation and therapy of biliary cysts (BC) differ depending on the type. Case: We present a case of a 2-year-old male who presented with non-specific symptoms of multiple episodes of vomiting. Laboratory investigations revealed raised alkaline phosphatase and gamma-glutamyl transpeptidase. His symptoms of acute pancreatitis were resolved with conventional therapy. Ultrasonography of the abdomen showed intra and extra-hepatic cystic biliary tree dilatation suggestive of choledochal cyst Type IV A. Conclusions: Choledochal cysts present with clinical features varying with age and anatomical variants and can pose challenges in management that can be addressed by surgery to avoid further complications.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Case Report: A rare case of choledochal cyst

Tariq¹,

Twayana

Sunuwar³

et al. 2022

F1000Res

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“…duplication cysts, respectively (9). An obstruction at the ampulla of Vater is thought to result in a distal intramural common bile duct localised dilatation (10).…”

Section: P R O V I S I O N a L L Y A C C E P T E D F O R P U B L I C ...mentioning

confidence: 99%

Experience of surgical management of rare cases of choledochal cyst in last five years—tertiary care reflection

et al. 2022

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Choledochal Cyst (CC), also known as the biliary cyst, is one of the rare inherited anomalies of intrahepatic and/or extrahepatic biliary system characterised by varying degrees of cystic dilatation of the biliary tract without acute obstruction. The prevalence ranges from 1 in 13,000 people to 1 in 2 million people with preponderance in Asia (1), particularly in Japan. Moreover, the presentation also varies in children and adults, and is usually vaguer and non-specific in adults. The prevalence is even lower in males, with female to male ratio being 3:1-4:1 (2). We present here three cases of adult choledochal cysts excised in our surgical unit in the last five years. We discuss the aetiopathogenesis, presentation, diagnosis, surgical treatment, and complications of choledochal cysts based on the available literature. ---Continue

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“…While there have been many studies on the clinical effect of laparoscopic cyst resection combined with Roux-en-Y hepaticojejunostomy in pediatric population, only few studies focused on adult patients. As laparoscopic cyst resection combined with biliary tract reconstruction is a complex operation, 5 the studies on its potential effects in adults are scarce compared to laparotomy cyst resections combined with Roux-en-Y hepaticojejunostomy. Our study aimed to compare the two approaches for the treatment of adult Type-I congenital choledochal cysts to provide valuable information for surgeons.…”

Section: Introductionmentioning

confidence: 99%

Comparison of open and laparoscopic outcomes of adult Type-I congenital choledochal cysts

Lu,

Hou

2023

Pak J Med Sci

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Objective: To compare open and laparoscopic outcomes of adult Type-I congenital choledochal cysts. Methods: Clinical data of 78 adult patients with Type-I congenital choledochal cysts, who had undergone cyst resection and Roux-en-Y hepaticojejunostomy in Chenzhou First People’s Hospital from September 1, 2021 to August 31, 2022, were retrospectively analyzed. Patients who received open approach and Roux-en-Y hepaticojejunostomy constituted the open group (n=35,) and patients who received laparoscopic approach and Roux-en-Y hepaticojejunostomy were assigned into the laparoscopic group (n=43,). The intraoperative and postoperative conditions, relevant laboratory indicators, and the rate of complications were compared between the two groups. Results: Intraoperative blood loss, postoperative time to first flatus, diet recovery time, time to drainage tube removal, and length of hospitalization of the laparoscopic group were lower in the laparoscopic group compared to the open group (P<0.05). One day after the operation, serum amylase (SAMY) levels in both groups were significantly lower, while the levels of total bilirubin(TBIL), alanine aminotransferase(ALT), and C-reactive protein(CRP) were higher than before the operation. Postoperative SAMY level in the laparoscopic group was significantly higher, while the postoperative TBIL and CRP levels were significantly lower than those in the open group (P<0.05). The incidence of postoperative complications in the laparoscopy group (4.65%) was significantly lower than the open group (20.00%) (P<0.05). Conclusions: Laparoscopic cyst resection combined with Roux-en-Y hepaticojejunostomy is associated with lower extent of trauma, faster recovery, less inflammation, and fewer complications than open surgery in adult patients with Type-I congenital choledochal cysts. doi: https://doi.org/10.12669/pjms.39.6.7829 How to cite this: Lu H, Hou W. Comparison of open and laparoscopic outcomes of adult Type-I congenital choledochal cysts. Pak J Med Sci. 2023;39(6):---------. doi: https://doi.org/10.12669/pjms.39.6.7829 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Unusual variant of choledochal cyst in a child: A case report, in Tertiary Specialized Hospital, Ethiopia

Abstract: Highlights In the hepatobiliary system anatomical variations can happen. Though type II choledochal cyst has great outcome after surgery, it has differentials to think about before exploration. The anatomic variation in choledochal cyst will cause diagnostic and management challenges.

Cited by 3 publications

References 9 publications

Case Report: A rare case of choledochal cyst

Case Report: A rare case of choledochal cyst

Experience of surgical management of rare cases of choledochal cyst in last five years—tertiary care reflection

Comparison of open and laparoscopic outcomes of adult Type-I congenital choledochal cysts

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