Choledochocele of the common bile duct

Reinus, Francis Z.; Weingarten, George

doi:10.1016/0002-9610(76)90363-9

Cited by 27 publications

(11 citation statements)

References 7 publications

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“…Choledochocele has usually been described as the rarest and most easily overlooked variant of congenital choledochal cyst, but has been variously named diverticulum of the common bile duct, cyst of the intraduodenal bile duct, cyst of the papilla of Vater, and enterogenous cyst of the duodenum [1][2][3]. In reported cases, patients with choledochocele commonly present with intermittent abdominal pain and/or jaundice.…”

Section: Discussionmentioning

confidence: 99%

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Choledochocele: Radiologic diagnosis and endoscopic management

Zimmon

Falkenstein

Manno³

et al. 1978

Gastrointest Radiol

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Section: Discussionmentioning

confidence: 99%

“…Choledochocele is a rare and easily overlooked anomaly of the terminal biliary tree [1][2][3]. In this report, we describe a patient with a choledochocele and demonstrate that recent advances in endoscopic retrograde cholangiopancreatography and endoscopic biliary surgery allow precise definition of this entity as well as its management.…”

mentioning

confidence: 84%

Choledochocele: Radiologic diagnosis and endoscopic management

Zimmon

Falkenstein

Manno³

et al. 1978

Gastrointest Radiol

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“…To date, there are several reported cases of periampullary DDC (1,3,4,(6)(7)(8)(9). Among these, communication with the pancreaticobiliary system was confirmed by ERCP in three cases (1,8,9).…”

Section: F I G U R E 3 Hi S T O P a T H O L O G I C A L F I N D I Nmentioning

confidence: 94%

Duodenal Duplication Cyst of the Ampulla of Vater

et al. 2007

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“…The serum amylase was 305 U/I and the total serum bilirubin 20 ,imol/l. The transaminase and alkaline phosphatase concentrations, the serum calcium and the plasma lipids were normal.…”

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confidence: 90%

Periampullary cyst: a surgically remediable cause of pancreatitis.

Kalvaria¹,

Bornman²,

Girdwood³

et al. 1987

Gut

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SUMMARY We report two patients with periampullary cysts associated with recurrent attacks of acute pancreatitis. In both patients the diagnosis was made preoperatively by upper gastrointestinal endoscopy and ERCP, which was also useful in determining the relationship of the cysts to the biliary and pancreatic ductal systems. Simple marsupialisation of the cysts resulted in long term relief of symptoms. Congenital cystic anomalies in the second part of the of the duodenum should be diligently sought in patients with pancreatitis of unexplained cause, as surgical therapy is safe and effective.With the advent of endoscopic retrograde cholangiopancreatography (ERCP), surgically remediable conditions such as biliary calculi, ampullary stenosis, and local pancreatic duct obstruction can be identified in up to two-thirds of patients with recurrent nonalcoholic pancreatitis.' ' Endoscopic retrograde cholangiopancreatography has also contributed to the recognition of an association between relapsing pancreatitis and duodenal duplication,`choledochocoele,87 and other rare structural anomalies.8 We report two parients who presented with recurrent attacks of acute pancreatitis caused by duodenal cysts in relation to the accessory and main papilla respectively, highlighting the delay in diagnosis of these cysts, the importance of ERCP in their assessment and the long term response to appropriate surgical management. sions and raised on both occasions (6100 and 4780 U/l respectively) (normal <300 U/l). Two ultrasonographic examinations of the upper abdomen and one barium meal had been interpreted as normal. There was no other relevant past medical history, family history or drug history and she denied alcohol intake. On examination, two weeks after her last episode of abdominal pain, the only abnormal finding was a small, non-tender, firm epigastric mass.The serum amylase was 305 U/I and the total serum bilirubin 20 ,imol/l. The transaminase and alkaline phosphatase concentrations, the serum calcium and the plasma lipids were normal. Review of the barium meal done two years previously revealed an intraluminal filling defect in the second part of the duodenum. The lesion was cystic on computed tomographic scanning (Fig. 1). At ERCP a 4x 5 cm smooth cystic mass projected into the duodenal lumen immediately proximal to the major papilla (Fig. 2). Cholangiography was normal and pancreas divisum was demonstrated on pancreatography.Laparotomy was carried out in view of the suspected association between the cyst adjacent to the ampulla of Vater and the history of relapsing pancreatitis. The pancreas and gall bladder were macroscopically normal but a longitudinal duodenotomy revealed a 3-4 cm tense cyst attached to the medial border of the second part of the duodenum just proximal to the major papilla (Fig. 3)

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Choledochocele of the common bile duct

Cited by 27 publications

References 7 publications

Choledochocele: Radiologic diagnosis and endoscopic management

Choledochocele: Radiologic diagnosis and endoscopic management

Duodenal Duplication Cyst of the Ampulla of Vater

Periampullary cyst: a surgically remediable cause of pancreatitis.

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