Choledochal cysts in pregnancy: case management and literature review

World Journal of Gastroenterology : WJG
De-Quan WuPei-Ling Li

Abstract

To evaluate the diagnosis, management principles and long-term results of congenital choledochal cysts in pregnancy. Three adult patients were diagnosed as choledochal cysts in pregnancy from 1986 to 1989 and their long-term results were evaluated. The first patient had a Roux-en-Y cysto-jejunostomy with T-tube external drainage and died of septic shock and multi-organ failure 25 d after operation. In the second patient, 4 wk after percutaneous trans-choledochal cyst was drained externally with a catheter under US guidance, four weeks later the patient delivered vaginally, and had a cysto-jejunostomy 3 mo after delivery, and lived well without any complications for 15 years after operation. The third patient received Roux-en-Y cysto-jejunostomy after a vertex delivery by induced labor at 28 wk gestation, and demonstrated repetitively intermittent retrograde cholangitis within 10 years, and then died of well-differentiated congenital cholangioadenocarcinoma one month after re-operation with exploratory biopsy at the age of 36. More conservative approaches such as external drainage of choledochal cyst should be considered for pregnant patients with high risk, complete excision of choledochal cyst during hepaticojejunostomy or mod...Continue Reading

References

Mar 1, 1978·Annals of Surgery·T TodaniK Okajima
May 1, 1976·The British Journal of Radiology·J G RussellB Torrance
Feb 1, 1988·Annals of Surgery·T TodaniY Sato
Jan 1, 1994·Abdominal Imaging·D J ShanleyR Daum-Kowalski
Mar 1, 1994·The British Journal of Surgery·T BenhidjebH Lippert
May 1, 1994·American Journal of Surgery·C H ScudamoreA F Watkinson
Nov 1, 1993·The Australian and New Zealand Journal of Surgery·S M BoseJ D Wig
Oct 1, 1993·British Journal of Obstetrics and Gynaecology·G J BeattieK Boddy
Feb 1, 1993·American Journal of Surgery·K Chijiiwa, A Koga
Feb 1, 1997·Journal of Pediatric Surgery·E P TaggeH B Othersen
Aug 6, 1998·The British Journal of Surgery·M Sugiyama, Y Atomi
Aug 7, 1999·Annals of Oncology : Official Journal of the European Society for Medical Oncology·H Bismuth, J Krissat

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Citations

Feb 14, 2009·The Journal of Obstetrics and Gynaecology Research·Dimitris HasiakosKonstantinos Papadias
Oct 20, 2015·Cirugia y cirujanos·José Luis Martínez-OrdazMauricio de la Fuente-Lira
Dec 15, 2012·Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology·Sandip PalAnu Eapen
Aug 1, 2013·Clinical Journal of Gastroenterology·Satoshi FuruhashiHideo Baba

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