Kyste du cholédoque rompu: revue de la littérature

Azahouani, Ahmed; Zaari, Najlae; Aissaoui, Fatine El; Hida, Mohamed; Fitri, Mohamed; Benradi, Larbi; Benhaddou, Houssain

doi:10.11604/pamj.2019.33.276.14372

Cited by 1 publication

(2 citation statements)

References 11 publications

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“…[ 1 , 12 , 14 ] The other complications observed commonly in adults are following: cholangiocarcinoma, cholecystolithiasis and cholecystitis, liver cirrhosis, cyst perforation. [ 1 , 2 , 6 , 14 , 15 ] Cholecystolithiasis and cholecystitis are caused by the bile stasis in patients with BC. The secondary liver cirrhosis leads to various complications associated with portal hypertension such as upper gastrointestinal bleeding, splenomegaly and pancytopenia.…”

Section: Discussionmentioning

confidence: 99%

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A giant biliary cyst of Todani IA in a young woman

Mrowiec¹,

Jabłońska²,

Baron³

et al. 2021

Medicine

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Rationale: Biliary cysts (BC) are rare dilatations of various parts of a biliary tract. They account for approximately 1% of all benign biliary diseases. Total cyst excision and Roux-Y hepaticojejunostomy is the treatment method of choice in most patients. In this paper, a novel surgical treatment with the use of internal biliary and pancreatic catheters was presented. Patient concerns: A 21-years-old woman with a giant choledochal cyst of Todani IA type presenting with abdominal pain, nausea, fever and palpable abdominal mass. It had been previously drained as a misdiagnosed pancreatic cyst in another hospital. Diagnosis: A very high amylase level (107140,0 U/l) in drain fluid was noted in laboratory tests. Endoscopic retrograde cholangiopancreatography revealed a biliary cyst located in the distal common bile duct and a pancreaticobiliary anomaly was suggested. A cholangiography per catheter inserted to the biliary cyst showed a large round contrast-filled cyst. A cholangiography following cyst decompression revealed a very long, tortuous bile duct entering the duodenum. Interventions: Cholecystectomy, cyst resection, Roux-Y hepaticojejunostomy, and implantation of catheters into pancreatic and bile duct were performed. The postoperative course was uneventful and she was discharged on 12th day without any complications. Histopathology revealed a cyst wall partially lined with biliary-type and mucinous epithelium, with dysplasia ranging from low to high grade (biliary intraepithelial neoplasia, high grade), without invasion. Outcomes: The biliary and pancreatic catheters were removed during endoscopic retrograde cholangiopancreatography 8 weeks following surgery without any complications. Fourteen months later, the patient reported good health. Lessons: Diagnosis of the abdominal cyst should be very precise in order to avoid misdiagnosis and inadequate management. The early diagnosis and proper treatment of BC are needed in order to avoid serious complications. The cholangiocarcinoma is the most dangerous potential complication of BC due to dysplasia within the cyst wall as in our young female patient.

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Section: Discussionmentioning

confidence: 99%

“…[ 1 ] The incidence of these congenital disorders is 1/2000000 live births. [ 2 ] They have higher prevalence in the Asian population compared to Western population. [ 3 ] Commonly, BC are manifested with a right subcostal pain, abdominal palpable mass and jaundice in infancy or childhood.…”

Section: Introductionmentioning

confidence: 99%