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2002, Number 1

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Cir Cir 2002; 70 (1)

Giant choledochal cyst. Report of a pediatric case

Alvarado-García R, Reza-Villa A, Uribe-Ramos D, Gallego-Grijalva JE

Language: Spanish
References: 18
Page: 40-43
PDF size: 91.96 Kb.


ABSTRACT

We report the case of a patient, female, 11 months of age, from Tuxtla Gutiérrez, Chiapas, Mexico with an initial of clinical picture obstructive jaundice, acolia, coluria, and hepatomegalia with abdominal pain, increasing jaundice and presence of abdominal epigastric mass. After several laboratory tests and radiology studies (ultrasound, esophagogastroduodenal series and gammagraphy) the diagnosis was giant choledochal cyst type I in the Alonzo-Lej and Todani classification. This pathology must be treated by means of resection of the mucosal cyst using an internal approach and reconstruction with hepatoyeyunoanastomosis in Y of Roux. There were no complications and the patient is evolving. Ethiology, clinical behavior and diagnosis in children with this pathology is analyzed in the world literature.


REFERENCES

  1. Saxena R, Pradeep R, Chandler J. Benign disease of the common bile duct. Br J Surg 1988;75;803-806.

  2. Vater A, Ezler CS. Dissertatio de scirrhis viserum occasione sections viri typanite defunte, Wittenburgae:4 Pamphers 1723;881:22.

  3. Douglas AH. Case of dilatation of the common bile duct, Monthly J Med Sci (London) 1852;14:97.

  4. Alonso-Lej F, Revor WB, Passagno DJ. Congenital choledochal cyst, with a report of 2, and an analysis of 94 cases. Surg Gynecol Obstet Int Abst Surg 1959;108:1.

  5. Todani T, Watanabe Y, Narusue M, Tabuchi K, Okajima K. Congenital bile ducts cysts. Am J Surg, 1977;134:263-269.

  6. Lilly JR, Stellin GP, Karrer FM. Forme Fruste choledochal cysts. J Pediatr Surg 1985;0:299-301.

  7. Yamaguchi M. Congenital choledochal cysts. Analysis of 1,433 patients in the Japanese literature. Am J Surg 1980;140:635-657.

  8. Babbitt DP. Congenital choledochal cysts: new etiological concept based on anomalous relationships of common bile duct and pancreatic bulb. Ann Radiol 1969;12:231-240.

  9. Miyano T. Hepaticoenterostomy after excision of choledochal cysts in children: a 30-year experience with 180 cases. J Pediatr Surg 1996;31:1417-1420.

  10. Holland AJA, Childs PA. Case report: giant choledochal cyst. J Gastroenterol Hepatol 1996;11(9):847-849.

  11. Lipsett PA, Pitt HA, Colombiani PM, Boitnott JK, Cameron JL. Choledochal cysts disease: a changing pattern of presentation. Ann Surg 1994;220:644-52.

  12. Sharma AK, Wakhlu A, Sharma SS. The role of ERCP in the management of choledochal cysts in children. J Pediatr Surg 1995;117: 476-479.

  13. Flores RAR, De la Rosa BFJ. Quiste gigante de colédoco en la infancia: informe de un caso. Rev Med IMSS Mex 1997; 35(1):27-30.

  14. Orozco SJ, Carreón CJ, Benítez SJA. Quiste congénito de colédoco. Tratamiento quirúrgico con excisión total del quiste. Bol Med Hosp Infant Mex 1989;46:121-129.

  15. Orozco SJ, Sámano MA. Dilatación quística congénita del colédoco en pediatría. Experiencia en el Hospital Juárez de México. Cir Ciruj 1997;65:33-38.

  16. Lilly JR. Total excision of choledochal cyst. Surg Gynecol Obstet 1978;146(2):254-56.

  17. Kim SH. Choledochal cysts: survey by the Surgical Section of American Academy of Pediatrics. J Pediatr Surg 1981;16(3):402-07.

  18. Pérez GR. Dos casos de quiste de colédoco asociados a pancreatitis aguda. Cir Ciruj 1997;65:85-89.




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