PMID: 8957460Dec 1, 1996Paper

Development of intrahepatic cholelithiasis long after primary excision of choledochal cysts

Journal of the American College of Surgeons
K UnoT Honna

Abstract

Biliary stricture with dilatation is a putative cause of intrahepatic bile duct stones. However, this hypothesis has never been proved. Fifty-six patients had operative cholangiography, underwent standard excision of a choledochal cyst, and were reviewed at follow-up clinics at a mean follow-up time of 13 years and 6 months. The incidence of complications such as intrahepatic cholelithiasis was analyzed according to the morphologic types of the intrahepatic bile ducts as observed at the initial operation. Group 1 patients (29 cases) did not show any dilatation of the intrahepatic bile ducts. Intrahepatic cholelithiasis developed in only one case (3 percent). In group 2 (24 cases), the intrahepatic bile ducts were dilated but not associated with any downstream stenosis. One patient (4 percent) suffered from intrahepatic cholelithiasis. Group 3 patients (3 cases) had dilatation of the intrahepatic bile ducts associated with downstream stenosis, and none of them was free from the development of intrahepatic biliary stones (3 cases). Patients with biliary dilatation with stricture of the intrahepatic bile ducts are most likely to develop intrahepatic cholelithiasis after surgical excision of a choledochal cyst, and their stenosis s...Continue Reading

Citations

Feb 2, 2013·The Indian Journal of Surgery·Chiranjiva KhandelwalRajeev N Priyadarshi
Aug 1, 1997·Journal of the American College of Surgeons·F CettaG Nuzzo
Feb 16, 2010·Journal of Pediatric Surgery·Tsubasa TakahashiAtsuyuki Yamataka
Feb 16, 2010·Journal of Pediatric Surgery·Shigeru OnoNaomi Iwai

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