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2015 ; 2015
(ä): 602591
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Choledochal Cyst in Adults: Etiopathogenesis, Presentation, Management, and
Outcome-Case Series and Review
#MMPMID26257778
Machado NO
; Chopra PJ
; Al-Zadjali A
; Younas S
Gastroenterol Res Pract
2015[]; 2015
(ä): 602591
PMID26257778
show ga
Background. Choledochal cyst, a rare congenital cystic dilatation of biliary
tree, is uncommon in adults. Their presentations differ from children and
surgical management has evolved. Methods. A retrospective review of the records
of all the patients above 15 years, who underwent therapeutic intervention in our
hospital, was carried out. Results. Ten cases of choledochal cyst were found; 8
female, with mean age 31 years. These included 8 cases of Todani type I and one
case each of type II and type III. The predominant symptoms were abdominal pain
and jaundice. Abdominal mass and past history of cholangitis and pancreatitis
were seen in 2 patients. Investigations included ultrasound in 8 patients, CT in
7, ERCP in 3, and MRCP in 5. Surgical intervention included complete excision of
the cyst with hepaticojejunostomy and cholecystectomy (type I), excision of the
diverticulum (type II), and ERCP sphincterotomy (type III). Malignancy was not
seen in any patients. The long-term postoperative complications included
cholangitis in two patients. Conclusion. Choledochal cyst is rare in adults. The
typical triad of abdominal pain, jaundice, and mass is uncommon in adults. The
surgical strategy aims for single stage complete excision of the cyst with
hepaticojejunostomy.