Types I and III Choledochal Cyst

Hadidi, Ali

doi:10.1001/archpedi.1983.02140330047012

Cited by 11 publications

(1 citation statement)

References 11 publications

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“…It is relatively inexpensive compared to other imaging modalities and is portable. Ultrasonography of pediatric patients has already been employed in the evaluation of the patency of potential vascular anastomoses in liver transplant candidates (12); in the classification of the etiology of portal hypertension (4); in the diagnosis of congenital hepatic fibrosis (4), portal vein obstruction (6), and choledochal cysts (13); and in the observation of patients who had previous surgical shunting procedures to treat their portal hypertension (8). We feel that abdominal ultrasonography has a place in the routine screening for esophageal varices in patients who have chronic liver disease or other signs of portal hypertension.…”

Section: Discussionmentioning

confidence: 99%

Sonographic Evaluation of Portal Hypertension in Children

Rabinowitz,

Norton,

Benkov

et al. 1990

J. pediatr. gastroenterol. nutr.

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SummaryPortal hypertension, an expected consequence of cirrhosis, often has an insidious course in children. A noninvasive technique using abdominal sonography has been previously employed by several investigators as a means of diagnosing this condition. Their technique involves sonographically measuring the diameter of the lesser omentum, which increases as a result of engorged collaterals. In this communication, the method is successfully employed in two children, an infant in whom cirrhosis developed who eventually died from acquired immunodeficiency syndrome, and one whose portal hypertension was relieved after orthotopic liver transplantation. Although successful in these two instances, the theoretical basis on which this technique is based is critically evaluated. Anatomical relationships are reviewed that would caution sonographers who attempt to duplicate these studies. Modifications of the technique that will minimize potential false positive results are also discussed.

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Section: Discussionmentioning

confidence: 99%

Sonographic Evaluation of Portal Hypertension in Children

Rabinowitz,

Norton,

Benkov

et al. 1990

J. pediatr. gastroenterol. nutr.

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Choledochal cyst: A 33-year review

Robertson

Raine

1988

British Journal of Surgery

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We present 13 patients who were seen at Glasgow hospitals over a 33-year period. Only five (38 per cent) were children. Of the eight adults, two had complications of the cyst at presentation, namely biliary cirrhosis and cholangiocarcinoma respectively. Another adult patient developed a carcinoma in the cyst 9 years after internal drainage. The incidence of malignant change in the series was therefore 15 per cent. Only five patients have remained well after surgery: three had complete excision and two internal drainage. Of the eight other patients, one had complete excision, five had internal drainage, one had partial excision and one had cholecystectomy and (years later) sphincterotomy. We believe that excision of the cyst is the treatment of choice.

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Choledochal cysts: Ultrasonographic findings and correlation with other imaging modalities

et al. 1994

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In the past, choledochal cysts had been infrequently diagnosed prior to surgical exploration for obstructive jaundice. However, with the advance of imaging modalities, preoperative diagnosis is usually apparent. We evaluated the radiological findings of choledochal cysts in 14 patients in whom ultrasonography (US) or computed tomography (CT) were mainly used for diagnosis. In addition, oral cholecystography, intravenous (i.v.) cholangiography, scintigraphy, and percutaneous transhepatic cholangiography were performed in some of them. The diagnosis was confirmed surgically in all patients. Ultrasonographic examinations were diagnostic in 13 of 14 patients. Preoperative specific diagnosis of choledochal cyst was possible with the demonstration of direct entrance of the extrahepatic bile ducts into the cyst in most cases. When US fails to show relation of cystic mass with biliary system, other imaging modalities can be used to clarify the findings.

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Types I and III Choledochal Cyst

Cited by 11 publications

References 11 publications

Sonographic Evaluation of Portal Hypertension in Children

Sonographic Evaluation of Portal Hypertension in Children

Choledochal cyst: A 33-year review

Choledochal cysts: Ultrasonographic findings and correlation with other imaging modalities

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