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2010, Number 1

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Rev Mex Cir Pediatr 2010; 17 (1)

Biliary Tract malformation in pediatrics Choledochal Cyst

Jiménez-y Felipe JH

Language: Spanish
References: 37
Page: 11-18
PDF size: 506.95 Kb.


ABSTRACT

Introduction: Billiary tract malformation is rarely seen in pediatrics. However, choledochal cyst is the most frequent. Its diagnosis must be validated using image studies, which will provide an early surgical treatment and the prevention of the most life-threatening complication, hepatic cirrhosis.
Objective: Evaluate our experience in the management of choledochal cyst in children in the Hospital Infantil del Estado de Sonora, México.
Material and Methods: Retrospective studies of 9 cases of choledochal cyst were studied. The variables were age, sex, family background, clinical signs, laboratory exams and X-rays and the surgical treatment. The mortality is reviewed.
Results: Frequencies for boys and girls were 16.67% and 83.33%, respectively. Newborn to 11 years old was the age range considered in this study. The clinical signs were abdominal pain, infrahepatic mass and jaundice. The liver tests were abnormal. The diagnosis was verified through gastroduodenal series, hepatic ultrasound and TAC. Nine patients were under surgical cholecyst-cystectomy and the intestinal anastomosis in Y-Roux. Only one patient died.
Discussion: We presented some theories of pathogenesis of the choledochal cyst; the importance of the normal bilio-pancreatic union and the pressures within these small ducts in order to prevent the reflux of the enzymes. The risk of cancer it is discussed.


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