Value of MR cholangiopancreatography in evaluating choledochal cysts.

Irié, Hiroyuki; Honda, Hiroshi; Jimi, Makiko; Yokohata, Kazunori; Chijiiwa, Kazuo; Kuroiwa, Toshiro; Hanada, K.; Yoshimitsu, Kengo; Tajima, Tsuyoshi; Matsuo, Susumu; Suita, Sachiyo; Masuda, Kouji

doi:10.2214/ajr.171.5.9798883

Cited by 124 publications

(72 citation statements)

References 10 publications

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“…MRCP gives information about the extent of the cyst, defects within the biliary tree, and presence or absence of the anomalous junction of the pancreaticobiliary duct. It can play an important role as a noninvasive examination and should be considered a first-choice imaging technique for evaluation of choledochal cyst [15].…”

Section: Discussionmentioning

confidence: 99%

Hepaticoduodenostomy for Biliary Reconstruction After Surgical Resection of Choledochal Cyst: a 25-Year Experience

Patil

Kanetkar²,

Talpallikar

2012

Indian J Surg

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We reviewed our experience of hepaticoduodenostomy done for choledochal cyst from 1982 to 2007 at our center. The aim of the study was to evaluate the efficacy of hepaticoduodenostomy as a mode of biliary reconstruction after surgical resection of choledochal cyst, to look for any complications associated with hepaticoduodenostomy, with review of the literature. A total of 56 patients underwent hepaticoduodenostomy after surgical resection of choledochal cyst, of which 54 patients underwent primary cyst excision with hepaticoduodenostomy and 2 patients underwent redo surgery (hepaticoduodenostomy). Most of the patients had an uneventful postoperative recovery. Early complications were biliary leak in three patients which subsided on conservative treatment. Long-term complication was seen in only one patient who developed anastomotic stricture 18 years after primary resection of choledochal cyst and hepaticoduodenostomy. Hepaticoduodenostomy is a relatively safe procedure with very low complication rates. It requires a single anastomosis and is simple to perform.

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Section: Discussionmentioning

confidence: 99%

Hepaticoduodenostomy for Biliary Reconstruction After Surgical Resection of Choledochal Cyst: a 25-Year Experience

Patil

Kanetkar²,

Talpallikar

2012

Indian J Surg

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“…Although endoscopic retrograde cholangiopancreatography (ERCP) has long been regarded as the gold standard for diagnosing choledochal cysts and evaluating anomalous pancreatobiliary junction, over the past ten years multiple studies have shown MRCP to be just as sensitive, if not more, than conventional cholangiography [9] . Complications include secondary biliary cirrhosis, spontaneous rupture of the cyst and cholangiocarcinoma [10,11] .…”

Section: Discussionmentioning

confidence: 99%

Choledochocele with pancreas divisum: A rare co-occurrence diagnosed on magnetic resonance cholangiopancreatography

Patidar

Agarwal²,

Gupta³

et al. 2013

WJR

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We report a case of a 42-year-old male with symptomatic choledochocele and incidental pancreas divisum diagnosed with magnetic resonance cholangiopancreatography (MRCP). Small choledochocele is rare congenital malformation associated with non-specific symptoms and a delay in diagnosis. The coexistence of choledochocele and pancreas divisum is extremely rare with only two case reports published in literature. In both cases MRCP failed to diagnose any biliary or pancreatic abnormality. This case suggests that the patients with recurrent abdominal pain and pancreas divisum should not be presumed to be suffering from pancreatitis. Careful evaluated for additional anomalies in the biliary tree should be sought for refractory symptoms. MRCP is a useful one-stop-shop for diagnosing pancreatic and biliary ductal anomalies. Core tip: Small choledochocele is a rare congenital malformation associated with non-specific symptoms and a delay in diagnosis. The coexistence of choledochocele and pancreas divisum is extremely rare with only two cases reported in literature. In both cases magnetic resonance cholangiopancreatography (MRCP) failed to diagnose any biliary or pancreatic abnormality. We report a case of a 42-year-old male with symptomatic choledochocele and incidental pancreas divisum diagnosed with MRCP.Patidar Y , Agarwal N, Gupta S, Arora A, Mukund A, Rajesh S. Choledochocele with pancreas divisum: A rare co-occurrence diagnosed on magnetic resonance cholangiopancreatography. World J Radiol 2013; 5(7): 264-266 Available from: URL:

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“…Em 1959 Alonso-Lej 5 propuseram classificação que englobava apenas cistos biliares extra-hepáticos. Essa classificação foi modificada por Todani em 1977 6 , que incorporou as dilatações intrahepáticas 1,4 .…”

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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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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Value of MR cholangiopancreatography in evaluating choledochal cysts.

Cited by 124 publications

References 10 publications

Hepaticoduodenostomy for Biliary Reconstruction After Surgical Resection of Choledochal Cyst: a 25-Year Experience

Hepaticoduodenostomy for Biliary Reconstruction After Surgical Resection of Choledochal Cyst: a 25-Year Experience

Choledochocele with pancreas divisum: A rare co-occurrence diagnosed on magnetic resonance cholangiopancreatography

Cisto de colédoco: relato de caso e revisão da literatura

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