Congenital Cystic Dilatation of the Common Duct (Choledochal Cyst)

1957 ◽  
Vol 75 (1) ◽  
pp. 143 ◽  
Author(s):  
LUTHER M. KEITH
Keyword(s):  
Choledochal Cyst ◽  
Common Duct ◽  
Cystic Dilatation ◽  
The Common

scholarly journals Case Report: Isolated Cystic Dilatation of the Cystic Duct: A Misdiagnosed Case Preoperatively

2021 ◽  
Vol 8 ◽  
Author(s):  
Jiankang Zhang ◽  
Zeming Hu ◽  
Xuan Lin ◽  
Dongliang Zhang ◽  
Hao Wang ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Choledochal Cyst ◽  
Cystic Duct ◽  
Extrahepatic Bile Duct ◽  
Cystic Dilatation ◽  
Liver Transaminase ◽  
Caudal Portion ◽  
The Common

A 33-year-old female with a mild elevation of liver transaminase was sent to the general surgery department for medical services due to upper-right abdominal pain for 2 weeks. A liquid dark area ~4 × 3 × 3 cm in size in the theoretical location of the pancreatic segment of the common bile duct was detected by abdominal CT with no enhancement of the cystic wall found in the enhanced CT scan. The patient was then diagnosed with a choledochal cyst based on the results of the radiological images preoperatively. During the operation, the isolated cystic dilatation was found in the middle part of the cystic duct, and its caudal portion was found behind the head of the pancreas and converged into the common bile duct at an acute angle and low insertion. According to the intraoperative evaluation, the female was then diagnosed with a cystic duct cyst (CDC). The surgery was converted to a laparotomy for the unclear structure and the possibility of anatomic variation of the bile duct. The caudal portion of the cystic duct was found communicated with the common bile duct with a narrow base, and the extrahepatic bile duct was not cystic. The CDC was removed in the surgery. One week later, the patient was discharged from the hospital for the disappearance of abdominal pain and normal liver transaminase and did not report any discomfort in the 1-month-long follow-up. The lessons drawn from this case were as follows: (1) the distinction between the relatively frequent choledochal cyst and the isolated CDC should always be taken in mind; (2) a surgical strategy should be given priority for an intraoperatively confirmed CDC; (3) a common bile duct exploration is recommended for patients with choledocholithiasis or jaundice.

Choledochal Cyst Presenting as Recurrent Pancreatitis

PEDIATRICS ◽  
1973 ◽  
Vol 51 (2) ◽  
pp. 289-291
Author(s):  
Manouchehr Karjoo ◽  
Harry C. Bishop ◽  
Patricia Borns ◽  
Philip G. Holtzapple
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Choledochal Cyst ◽  
Abdominal Mass ◽  
Recurrent Abdominal Pain ◽  
Recurrent Pancreatitis ◽  
Cystic Dilatation ◽  
White Girl ◽  
The Common ◽  
Biochemical Abnormalities

Choledochal cyst, or congenital cystic dilatation of the common bile duct, is a rare anomaly usually presenting in the first decade with pain, jaundice, and an abdominal mass. The following is a report of a child with recurrent abdominal pain who showed clinical and biochemical evidence of recurrent pancreatitis. Investigation revealed a congenital choledochal cyst. The abdominal pain and biochemical abnormalities abated after choledochocystojejunostomy. Case Report J.J., a 4-year-old white girl, was admitted to the Children's Hospital of Philadelphia because of recurrent abdominal pain. This pain, located in the epigastrium, first started at the age of 1.5 years and was associated with fever, nausea, and vomiting.

scholarly journals Another Type of Choledochal Cyst Beyond the Todani Classification

2016 ◽  
Vol 101 (1-2) ◽  
pp. 54-57
Author(s):  
Fu-Huan Huang ◽  
Chien-Hsing Lee ◽  
Tsai-Yi Tseng ◽  
Ching-Yi Hung
Keyword(s):  
Choledochal Cyst ◽  
Cystic Duct ◽  
Distal Part ◽  
Type I ◽  
Review Of The Literature ◽  
Cystic Dilatation ◽  
Duct Cyst ◽  
The Common ◽  
Cystic Duct Cyst

The classification of choledochal cyst has changed from 3 types described by Alonso-Lej to 5 types described by Todani, but these classifications do not include dilatation of the cystic duct. The sixth type of choledochal cyst has been described by some authors for the cystic dilatation of the cystic duct. It is so rare that accurate diagnosis is difficult before operation. We present a 15-month-old girl with a type VI choledochal cyst that was misidentified preoperatively as a type I choledochal cyst. Besides the gall bladder and the cystic duct cyst, we also excised the distal part of the common bile duct and performed reconstruction with Roux-en-Y hepaticojejunostomy. From a review of the literature, we have determined that there is a more direct route to adequate diagnosis and management of the sixth type of choledochal cyst.

scholarly journals On the X-ray Diagnosis of Gallstones in the Common Duct

2015 ◽  
Vol 57 (1) ◽  
pp. e5-e8
Author(s):  
M. Simon ◽  
M. D. Stockholm
Keyword(s):  
Common Duct ◽  
X Ray ◽  
The Common

scholarly journals Primary Closure of the Common Duct

1960 ◽  
Vol 151 (2) ◽  
pp. 255-260 ◽  
Author(s):  
WILLIAM FRANCIS RIENHOFF
Keyword(s):  
Primary Closure ◽  
Common Duct ◽  
The Common

The Case of the Common Duct Cyst

1973 ◽  
Vol 8 (12) ◽  
pp. 80B-80D
Author(s):  
William B. Seaman
Keyword(s):  
Common Duct ◽  
Duct Cyst ◽  
The Common

scholarly journals Congenital choledochal cyst

1973 ◽  
Vol 13 (1) ◽  
pp. 31
Author(s):  
Heyder Bin Heyder
Keyword(s):  
Bile Duct ◽  
Choledochal Cyst ◽  
Medical Literature ◽  
Personal Contact ◽  
Congenital Choledochal Cyst ◽  
Unusual Condition ◽  
The Pacific ◽  
The Common ◽  
The Right ◽  
Upper Abdomen

Although congenital choledochal cyst, a localized dilatation of the common bile duct, is an unusual condition in many countries, it should be expected in any infant who presents the triad of jaundice, tumor and pain in the right upper abdomen. Not less than 500 cases have been reported in the medical literature. Recently it is pointed out, that the congenital chledochal cyst is more common in Japan than in Europe or American countries. A personal contact with the Japanese delegation attending the meeting of the Pacific Association of Pediatric Surgeons in Vancouver, May 1971, confirmed it.

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