What is the Right Therapeutic Approach to Biliary Choledochal Cyst?

Abstract

SUMMARY -We report a case of biliary cyst type II which, independently of its a priori benign nature, caused numerous complications such as recurrent cholangitis and pancreatitis, as well as subsequent hepatic fi brosis and the potential danger of choledochocele perforation. Although they are benign, biliary/choledochal cysts can cause numerous disorders such as cholestasis, leading to cholangitis and pancreatitis and biliary sepsis, and due to chronic infl ammation of the biliary system even cholangiocarcinogenesis. Our fi ndings showed that sometimes this type of biliary cyst (according to the available literature the rarest and most benign type), as well as type I cyst, should undergo timely radical excision. In our patient, timely choledochocele resection would have certainly contributed to the reduction of subsequent complications, as well as to obviating repeated invasive diagnostic and surgical procedures.

Caroli's disease misdiagnosed as bile duct cystadenoma: A case report

“…However, this condition can predispose individuals to complications such as cholangitis, bile duct stones, liver abscess, and even cancer. The likelihood of cancer development increases with age 12,13 . Hence, both domestic and international scholars advocate prompt surgical intervention for patients with Caroli's disease who are suitable candidates, regardless of clinical symptoms.…”

“…The likelihood of cancer development increases with age. 12,13 Hence, both domestic and international scholars advocate prompt surgical intervention for patients with Caroli's disease who are suitable candidates, regardless of clinical symptoms. The choice of surgical approach should align with the extent of the lesions.…”