Surgical management of cystic dilatation bile ducts in adults

Abstract

BackgroundThe cystic dilatation of the biliary tract is a rare disease and uncertain origin. It is recognized more frequently in children; however, its incidence comes increasing in adults, representing 20% of the cases.AimTo evaluate morbimortality rates, evolution and handing of patients with cystic dilatation bile ducts in adults.MethodsWere evaluated, retrospectively, five adults who had the diagnosis of choledochal cyst and that had been submitted to some surgical procedure.ResultsAbdominal pain was the commonest complain to all patients. Jaundice was present in 80%. Ultrasound scanning was done in all the cases as initial examination. CT scan, magnetic resonance imaging and endoscopic retrograde cholangiopancreatography were also done in some patients; however, the diagnosis was established intra-operatively in all cases. The cyst resection with reconstruction of the biliary tract was done in 60%; the cystojejunostomy in 20%; and in 20% biliary tract drainage.ConclusionsBiliary tract cystic dilatation is a rare disease. However, its incidence is increasing in the adult population, so, it must be thought as differential diagnosis when facing obstructive jaundice.

Endoscopic Retrograde Cholangiopancreatography in Patients with Choledochal Cyst, A Tertiary Care Experience

“…In 1959, Alonso-Lej and colleagues devised the initial classification system for CC, which included three types of CC 4 . In 1977, Todani and colleagues expanded this classification system, which is most commonly used by clinicians 5 .…”

“…Their exact pathogenesis remains unclear ; however an abnormal pancreaticobiliary union (APBDU) and subsequent biliary contents reflux of into the biliary tree is observed to play a role 3 . The initial classification of CC was modified by Todani and colleagues in 1977 4,5 . They classified choledochal cyst in to five basic types 6 .…”