Antenatal diagnosis and early surgery for choledochal cyst

Howell, Charles G.; Templeton, John Y.; Weiner, Stuart; Glassman, Mark S.; Betts, James M.; Witzleben, C. L.

doi:10.1016/s0022-3468(83)80187-0

Cited by 94 publications

(47 citation statements)

References 18 publications

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“…There have been few reports describing a change in cyst size during fetal life. All of Weeks of Gestation them found no change in choledochal cyst size [1,[5][6][7], The communication between common bile duct and duo denum, into which the bile could be excreted, might cause no enlargement of the cyst. On the other hand, it was reported that in many cases the cyst size had increased after birth.…”

Section: Discussionmentioning

confidence: 96%

“…Of these cases, 19 involved a choledochal cyst [1][2][3][4][5][6][7] and 5 had a congenital biliary atresia (type I cyst) [8].…”

Section: Discussionmentioning

confidence: 99%

“…Both choledochal cyst and congenital biliary atresia (type I cyst) may share the same ultrasonographic pattern. Pa tients with choledochal cyst rarely manifest jaundice im mediately after birth, and most of them can be followed for a certain period before surgical intervention is decided [1][2][3][4][5][6][7], On the other hand, in congenital biliary atresia, jaundice is present at birth in some cases, and the progno sis is greatly dependent on early surgical intervention before 10-12 weeks of age [2]. Hence early diagnosis is very important.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Is It Possible to Differentiate between Choledochal Cyst and Congenital Biliary Atresia (Type I Cyst) by Antenatal Ultrasonography?

Matsubara¹,

Oya²,

Suzuki³

et al. 1997

Fetal Diagn Ther

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Both choledochal cyst and congenital biliary atresia (type I cyst) may share the same ultrasonographic pattern. We report 2 cases which were shown to have cystic structures on the upper abdomen by antenatal ultrasonography. The size of the choledochal cyst found at 24 weeks’ gestation increased steadily as gestational age advanced. But the size of the cyst in congenital biliary atresia found at 29 weeks’ gestation remained unchanged throughout the remaining pregnancy. Cyst enlargement, therefore, may suggest the possibility of a choledochal cyst.

show abstract

Section: Discussionmentioning

confidence: 96%

“…Of these cases, 19 involved a choledochal cyst [1][2][3][4][5][6][7] and 5 had a congenital biliary atresia (type I cyst) [8].…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Is It Possible to Differentiate between Choledochal Cyst and Congenital Biliary Atresia (Type I Cyst) by Antenatal Ultrasonography?

Matsubara¹,

Oya²,

Suzuki³

et al. 1997

Fetal Diagn Ther

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show abstract

“…Although magnetic resonance imaging (MRI) or threedimensional (3D) US with reconstructed planes may aid the prenatal diagnosis, we believe that a careful and precise twodimensional (2D) US should be encouraged, since it may be satisfactory enough, in most cases, to demonstrate the sign of the connection between the gall bladder and the cyst, like in our case [10][11][12][13][14][15]. Indeed, MRI as well as 3D technology, although can be very useful in many cases, especially those of unfavourable fetal position, are expensive tools, require expert operators and are not readily available in some clinical contexts.…”

Section: Gynecology and Obstetrics Case Report Issn 2471-8165mentioning

confidence: 77%

Two-Dimensional Ultrasonographic Prenatal Diagnosis of Choledochal Cyst: Our Experience and Literature Review

Spinelli¹,

Lavinia²

2016

Gynecol Obstet Case Rep

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Choledochal cyst is an abnormality of the biliary ducts, characterized by a dilatation of a portion of the biliary ductal system (most commonly a portion or the whole of the extrahepatic bile duct system) that presents usually at ultrasonography as a cystic mass in the right upper quadrant abdomen. Ultrasonographic prenatal diagnosis may be challenging since the detection of any intraabdominal cyst raises the issue of differential diagnosis considering its nature as well as the organ of origin. In this paper, we report our experience with a case of a choledochal cyst strongly suspected during routine midtrimester ultrasound scan, when a round liquid mass was found in the right upper quadrant of the abdomen; the cyst was independent of the other intra-abdominal organs but a connection was observed between the latter cyst and dilated bile ducts. The diagnosis was confirmed at birth and the infant underwent successful surgical correction of the anomaly. We review the current literature as well, discussing the current open challenges of diagnosing and managing these cases.

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“…CBD occurs more frequently in Japan than in Western countries where it is estimated to occur in 1 case in every 2 million births [3]. According to Flanigan [4] about 80% of the patients are females, and at the time of diagnosis, over one fourth of the subjects are less than 1 year of age, over one half less than 10 years, and about 20% over 40 years.…”

Section: Introductionmentioning

confidence: 99%

Management of Retroduodenal and Intrapancreatic Choledochal Cyst: Report of a Case

et al. 1989

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Congenital biliary dilatation is a relatively rare disease. The purpose of this communication is to analyze the management of a cyst, involving the common bile duct and choledochus, with retroduodenal and intrapancreatic extension, diagnosed in a 4-year-old girl. Based on the anatomy of the lesion, a rapid and safe procedure of endocystic excision with Roux-en-Y hepatico-cysto-jejunostomy is adopted to avoid injury to the pancreas and other major structures.

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Antenatal diagnosis and early surgery for choledochal cyst

Cited by 94 publications

References 18 publications

Is It Possible to Differentiate between Choledochal Cyst and Congenital Biliary Atresia (Type I Cyst) by Antenatal Ultrasonography?

Is It Possible to Differentiate between Choledochal Cyst and Congenital Biliary Atresia (Type I Cyst) by Antenatal Ultrasonography?

Two-Dimensional Ultrasonographic Prenatal Diagnosis of Choledochal Cyst: Our Experience and Literature Review

Management of Retroduodenal and Intrapancreatic Choledochal Cyst: Report of a Case

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