PMID: 9184863Jan 1, 1996Paper

Cystic dilatations of the common bile duct in adults

HPB Surgery : a World Journal of Hepatic, Pancreatic and Biliary Surgery
G KouraklisG Skalkeas

Abstract

Cystic dilatations of the common bile duct are believed to be of congenital etiology with most cases presenting in childhood. During the last 20 years, 10 patients with cystic dilatations of the bile duct were treated in our Department. There were 5 men and 5 women with an age range of 35-81 years. Clinical presentation consisted of right hypohondrial pain, nausea, vomiting and a history of obstructive jaundice. Diagnosis was established by ultrasound, cholangiography and ERCP in most cases. According to the Todani classification system, 5 patients had type I cysts, 4 had type II and one had type III. At the time of surgery, main associated diseases were choledocholithiasis in 3 cases and cholangitis in 2 cases. One patient (type III) underwent endoscopic sphincterotomy; 4 patients underwent internal drainage and 2 of them developed mild cholangitis postoperatively; 5 patients underwent excision of the cyst and a biliary-enteric bypass and developed no main complications. Patients remained in good health during long-term follow-up. We conclude that cyst excision is the treatment of choice for adults in order to reduce postoperative morbidity and the potential risk of malignancy.

Citations

Mar 5, 2004·Gastrointestinal Endoscopy·Mazen Ibrahim Naga, Dalia Nader Suleiman
Sep 25, 2012·World Journal of Gastroenterology : WJG·Beata Jabłońska
Apr 28, 2009·Current Opinion in Gastroenterology·Michael L Kendrick, David M Nagorney
Jun 7, 2002·Journal of Vascular and Interventional Radiology : JVIR·Moni Stein
Oct 18, 2008·Cases Journal·Shakeeb A KhanSrinivas Chintapatla
Dec 26, 2006·European Journal of Pharmacology·Mohammad TauseefMohammad Fahim
Jul 31, 2008·World Journal of Gastroenterology : WJG·Jan-J Koornstra, Rinse-K Weersma

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