PMID: 9639632Jun 26, 1998Paper

Rapid enlargement of a choledochal cyst: antenatal diagnosis and delayed primary excision

Pediatric Surgery International
Y HamadaK Hioki

Abstract

A case of choledochal cyst (CC) antenatally diagnosed at 29 weeks' gestation is reported. Rapid enlargement of the cyst soon after delivery resulted in complete gastric outlet obstruction (GOO). The lesion was treated by external drainage as a temporary maneuver, with delayed cyst excision and hepaticoduodenostomy at the hepatic hilum performed at 81 days of age. Surgical treatment of CC in early infancy has been reported to be safe and effective. However, delayed primary excision would be an alternative procedure, especially in rare cases showing rapid enlargement resulting in GOO, since this choice has the potential advantage of allowing weight gain and improved nutritional status without risking interim complications due to the drainage procedure.

Citations

Jan 5, 2002·Indian Journal of Pediatrics·S BudhirajaP Dahiya
Jan 8, 2000·Journal of Pediatric Surgery·S SuitaS Matsuo
Feb 12, 2009·Journal of Paediatrics and Child Health·Dominic C C FooPaul K H Tam
Oct 12, 2000·Indian Journal of Pediatrics·K N RattanS K Pandit
May 1, 2016·Surgical Endoscopy·Kin Wai Edwin ChanYuk Him Peter Tam
Feb 3, 2006·Pediatrics·Matthew S CliftonKerilyn K Nobuhara

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