3,156 results match your criteria Choledochal Cysts


Biliary reconstruction after choledochal cyst resection: a systematic review and meta-analysis on hepaticojejunostomy vs hepaticoduodenostomy.

Pediatr Surg Int 2021 Jun 11. Epub 2021 Jun 11.

Tecnológico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Ave. Batallón San Patricio #112, San Pedro Garza García, Monterrey, Nuevo León, Mexico.

Choledochal cysts are a rare pediatric biliary pathology. Excision of the extrahepatic cyst and restoration of biliary-enteric continuity through either hepaticoduodenostomy (HD) or Roux-en-Y hepaticojejunostomy (HJ) is the mainstay treatment. This study aims to determine if either method provides an advantage. Read More

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Diminution of the Primary Cilia From the Intrahepatic Cholangiocytes in a Pediatric Choledochal Cyst.

Appl Immunohistochem Mol Morphol 2021 Jun 3. Epub 2021 Jun 3.

Departments of Pathology and Lab Medicine Pediatric Surgery Pediatrics, AIIMS, Bhubaneswar, Odisha, India.

Choledochal cyst (CC) is a cystic disease predominantly involving the extrahepatic biliary tree. Biliary atresia (BA), another disorder of the extrahepatic biliary tree, is sometimes considered to be in the same spectrum as pediatric CC. Recently, the absence and/or the structural abnormality of the primary cilia in the intrahepatic cholangiocytes have been implicated in the pathogenesis of BA. Read More

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Indication and surgical techniques of bypass choledochojejunostomy for intractable choledocholithiasis.

Ann Hepatobiliary Pancreat Surg 2021 May;25(2):259-264

Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Despite development in endoscopic treatment and minimally invasive surgery for choledocholithiasis, there remains a small number of patients who require bypass Roux-en-Y choledochojejunostomy (RYCJ) because of the intractable occurrence of common bile duct (CBD) stones. We herein present the detailed procedures of open RYCJ customized for intractable choledocholithiasis. The first method is a side-to-end choledochojejunostomy with intraluminal closure of the distal CBD. Read More

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Choledochal cyst with secondary cholangitis, choledochitis, duodenal papillitis, and pancreatitis in a young domestic shorthair cat.

J Vet Diagn Invest 2021 May 24:10406387211017107. Epub 2021 May 24.

North Carolina State University College of Veterinary Medicine, Raleigh, NC, USA.

Choledochal cysts, congenital segmental dilations of the common bile duct, have been reported in few cats, and histologic characterization is lacking. A 20-mo-old spayed female domestic shorthair cat was presented because of vomiting and weight loss. There was progressive elevation of liver enzyme activity (ALT > ALP, GGT) and hyperbilirubinemia. Read More

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Tactics, techniques, and challenges in the management of giant choledochal cyst in adolescents and adults: a retrospective cohort study.

Langenbecks Arch Surg 2021 May 22. Epub 2021 May 22.

Department of Surgical Gastroenterology, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India.

Background: Choledochal cyst is a rare congenital anomaly manifesting as cystic dilatation of the biliary tree. This study presents our 5-year experience with giant choledochal cyst in adolescents and adults, focusing primarily on its clinical presentation, operative challenges, and pragmatic solutions.

Methods: A retrospective observational study was conducted on 58 adolescent and adult choledochal cyst patients who were managed at a tertiary care hospital. Read More

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[Efficiency of minilaparotomy in the treatment of choledochal malformation in children].

Khirurgiia (Mosk) 2021 (5):63-71

Pirogov Russian National Research Medical University, Moscow, Russia.

Objective: To evaluate an effectiveness of minilaparotomy in the treatment of choledochal malformation (CM) in children.

Material And Methods: The study included children with CM who underwent surgery from January 2010 to May 2020. All patients were divided into 3 groups depending on surgical approach: minilaparotomy (ML), laparoscopy (LS) and laparotomy (LT). Read More

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Analysis of Pediatric Surgery Using the National Healthcare Insurance Service Database in Korea: How Many Pediatric Surgeons Do We Need in Korea?

J Korean Med Sci 2021 May 10;36(18):e116. Epub 2021 May 10.

Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Background: In the past, general surgeons (GSs) without a pediatric surgical subspecialty often performed surgery on children and, even now, GSs are performing many pediatric surgeries. We aimed to investigate the involvement of pediatric surgeons (PSs) and GSs in pediatric surgery, compare the outcomes of surgery in the neonatal intensive care unit (NICU), and estimate the appropriate PS workforce in Korea.

Methods: We used surgical data from the National Health Insurance Service database that was collected from patients under the age of 19 years in hospitals nationwide from January 2002 to December 2017. Read More

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Biliary Tree Cysts and Surgical Treatment: Outcomes in a Multicentric Study.

J Laparoendosc Adv Surg Tech A 2021 May 7. Epub 2021 May 7.

Division of Hepato-biliary-pancreatic Surgery, Department of Surgery, Hospital de la Santa Creu i Sant Pau, Universitat Autonoma de Barcelona, Spain.

Biliary tree cysts (BTCs) represent an either localized or multifocal abnormal dilatation of the biliary tree, which entails an increased risk of acute cholangitis and cholangiocarcinoma (2.5%-16%). Its incidence in Western countries is ∼1/100. Read More

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Hilar Choledochal Cyst Mimicking Biliary Atresia on Hepatobiliary Scintigraphy: a Case Report.

Nucl Med Mol Imaging 2021 Apr 17;55(2):96-99. Epub 2021 Feb 17.

Department of Nuclear Medicine & Molecular Imaging, Ajou University School of Medicine, Worldcup-ro 164, Suwon, Kyunggi-do 16499 Republic of Korea.

Hepatobiliary scintigraphy has been widely used for the differential diagnosis of neonatal cholestasis. Relatively good hepatic uptake with no evidence of excretion into the bowel for up to 24 h is a representative finding of biliary atresia. Hepatobiliary scintigraphy has very high sensitivity and moderate specificity. Read More

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Arterio-Duodenal Fistula: A Rare Complication of Laparoscopic Choledochal Cyst Excision.

J Indian Assoc Pediatr Surg 2021 Jan-Feb;26(1):57-59. Epub 2021 Jan 11.

Department of Diagnostic and Interventional Radiology, All India Institute of Medical Sciences, Basni, Jodhpur, India.

Choledochal cysts (CDC) are rare biliary tract anomalies characterized by congenital dilatation of the extrahepatic and/or intrahepatic bile ducts. CDC excision with hepatico-enterostomy is the preferred surgery in modern era. Perioperative blood loss in a case of laparoscopic choledochal cyst excision (LCCE) is usually minimal and managed by conservative treatment such as blood transfusion and correction of coagulation factors. Read More

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January 2021

Squamous cell carcinoma arising within choledochal cyst managed by pancreaticoduodenectomy: A case report.

Int J Surg Case Rep 2021 May 27;82:105919. Epub 2021 Apr 27.

Department of GI and General Surgery, Tribhuvan University Teaching Hospital, Institute of Medicine, Kathmandu, Nepal.

Introduction And Importance: Choledochal cysts (CC) are rare cystic dilatation of the biliary trees. Malignancy is one of the important significant findings in CC and its incidence increases with age. Associated squamous cell carcinoma of the choledochal cyst is an uncommon pathological finding. Read More

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A Rare Case of Dorsal Agenesis of Pancreas, Choledochal Cyst, and Hirschsprung Disease in a Young Patient.

ACG Case Rep J 2021 Apr 26;8(4):e00561. Epub 2021 Apr 26.

Division of GI and HPB Surgery Department of Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.

Dorsal pancreatic agenesis is a rare congenital pancreatic malformation. There is just 1 reported case associating it with choledochal cyst. However, no cases have reported yet with both coexisting with Hirschsprung disease. Read More

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Diverticula of common hepatic duct: A case report.

Asian J Surg 2021 Apr 26. Epub 2021 Apr 26.

Department of Pediatric Surgery, Ningbo Women and Children's Hospital, Ningbo, China.

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Role of interventional radiology in the management of complex pediatric surgical cases.

Int J Surg Case Rep 2021 May 16;82:105886. Epub 2021 Apr 16.

Department of Neonatal and Paediatric Intensive Care, Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute, Mumbai, India.

Introduction: Minimally-invasive techniques offered by interventional radiology (IR) are really helpful in the management of challenging surgical cases. The current report highlights a series of four complex pediatric surgical cases which were successfully managed by specific image-guided techniques.

Case Presentation: The first two cases in the present report were infants. Read More

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A giant choledochal cyst: A case reported from Tanzania.

Int J Surg Case Rep 2021 Apr 27;81:105829. Epub 2021 Mar 27.

Department of General Surgery, Kilimanjaro Christian Medical Center, P O Box 3010, Moshi, Tanzania; Kilimanjaro Christian Medical University College, P O Box 2240, Moshi, Tanzania. Electronic address:

Introduction: Choledochal cyst is a rare common bile duct malformation that usually presents in the pediatric group with abdominal pain, distension, and jaundice. The pathophysiology remains unclear for the cause, and surgery aims to restore biliary enteric drainage.

Case Presentation: We present a six-year-old female who presented with gradual abdominal distention associated with jaundice. Read More

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EUS diagnosis of asymptomatic type III choledochal cyst.

VideoGIE 2021 Feb 10;6(2):98-100. Epub 2020 Dec 10.

Department of Gastroenterology and Hepatology, Cleveland Clinic Foundation, Cleveland, Ohio.

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February 2021

Ultrasonography is useful in differentiating between cystic biliary atresia and choledochal cyst.

Pediatr Surg Int 2021 Jun 19;37(6):731-736. Epub 2021 Apr 19.

Department of General Surgery, Capital Institute of Pediatrics, Beijing, China.

Purpose: With the advent of ultrasonography (US), perinatal diagnosis of biliary cystic malformation (BCM) has become more prevalent. BCM includes cystic biliary atresia (CBA) and choledochal cyst (CC). Both share similar ultrasonographic features and clinical manifestations, and yet the postnatal management is very different. Read More

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Calcium bilirubinate sludge causes early onset of congenital biliary dilatation: a report of two cases.

Surg Case Rep 2021 Apr 13;7(1):92. Epub 2021 Apr 13.

Department of Surgery, Aichi Medical University, 1-1 Yazakokarimata, Ngakute, Aichi, 480-1195, Japan.

Background: Symptomatic congenital biliary dilatation (CBD) during early infancy is always characterized by cystic dilation of the common bile duct with a narrow segment connecting the pancreatic duct.

Case Presentation: In two consecutive infants with a prenatal diagnosis of CBD, we found that biliary sludge had formed in the cyst upon the appearance of symptoms including acholic stool and hypertransaminasemia. Infrared absorption spectrometry revealed that the sludge consisted of calcium bilirubinate. Read More

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Imaging manifestations of Caroli disease with autosomal recessive polycystic kidney disease: a case report and literature review.

BMC Pregnancy Childbirth 2021 Apr 12;21(1):294. Epub 2021 Apr 12.

Department of Ultrasound, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.

Background: Both Caroli disease (CD) and autosomal recessive polycystic kidney disease (ARPKD) are autosomal recessive disorders, which are more commonly found in infants and children, for whom surviving to adulthood is rare. Early diagnosis and intervention can improve the survival rate to some extent. This study adopted the case of a 26-year-old pregnant woman to explore the clinical and imaging manifestations and progress of CD concomitant with ARPKD to enable a better understanding of the disease. Read More

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Giant Calculus with More than 100 Small Calculi in Choledochal Cysts.

Case Rep Gastroenterol 2021 Jan-Apr;15(1):244-252. Epub 2021 Feb 26.

Department of Surgery, Dr. Hedgewar Arogya Sansthan, Delhi, India.

Giant biliary calculus in the common bile duct (CBD) is rare. Giant calculus of choledochal cyst (CC) is even rarer, and no case of giant calculus of CC with more than 100 calculi has been reported in the indexed literature. We present the case of a 8. Read More

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February 2021

A rare type of choledochal cysts of Todani type IV-B with typical pancreaticobiliary maljunction.

Hepatobiliary Pancreat Dis Int 2021 Mar 9. Epub 2021 Mar 9.

Department of Hepatobiliary Surgery, General Surgery, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan 250012, China. Electronic address:

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Comparison of long-term biliary complications between open and laparoscopic choledochal cyst excision in children.

Ann Surg Treat Res 2021 Mar 26;100(3):186-192. Epub 2021 Feb 26.

Department of Pediatric Surgery, Seoul National University College of Medicine, Seoul, Korea.

Purpose: Cyst excision with hepaticojejunostomy has been the classic procedure for treating choledochal cysts, and the use of laparoscopic treatment has been favored recently. The purpose of this study was to compare the long-term biliary complication of laparoscopic operation with open surgery for choledochal cyst presenting in children.

Methods: A retrospective study comparing the laparoscopic and open procedures was performed in 185 patients with choledochal cyst in a single children's hospital. Read More

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Endoscopic management of a type III choledochal cyst (choledochocele) using snare resection without balloon-catheter assistance.

VideoGIE 2021 Mar 28;6(3):134-135. Epub 2020 Dec 28.

Department of Hepatobiliary Surgery, The Affiliated Hospital of Guizhou Medical University, Guizhou, China.

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Laparoscopic excision of a Type II choledochal cyst with cystolithiasis.

J Minim Access Surg 2021 Apr-Jun;17(2):259-261

Department of General Surgery, Saveetha Institute of Medical and Technical Sciences, Saveetha Medical College, Chennai, Tamil Nadu, India.

Choledochal cysts can present with abdominal pain, jaundice and stones.MRI is the standard imaging tool and the type of biliary enteric anastomosis depends on the cyst type. Read More

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Choledochal cysts surgical management: Retrospective and historical comparative analysis.

Cir Esp (Engl Ed) 2021 Mar 10. Epub 2021 Mar 10.

Sección de Hepatología, Departamento de Cirugía General y Digestiva, Hospital Universitario Ramón y Cajal, Madrid, España.

Introduction: Choledochal cysts are rare bile duct dilatations, which have higher prevalence in Asian population. The aim of the study was to analyze clinical and surgical results about biliary cysts management. In addition, a comparative historical analysis was performed. Read More

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Benchmarking utilization, length of stay, and complications following minimally invasive repair of major congenital anomalies.

Surg Endosc 2021 Mar 10. Epub 2021 Mar 10.

Center for Surgical Outcomes Research, The Research Institute at Nationwide Children's Hospital, 611 Livingston Avenue, Suite 3A.3, Columbus, OH, 43205, USA.

Introduction: Infants with newborn congenital anomalies are increasingly undergoing minimally invasive surgical (MIS) repair. Currently available data on outcomes are limited. This study provides national estimates for length of stay and 30-day complications following MIS for congenital anomalies. Read More

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[A case of Caroli's disease confirmed by pathology, atypical symptoms and images].

Zhonghua Gan Zang Bing Za Zhi 2021 Feb;29(2):172-174

Department of Infectious Diseases, the Third People's Hospital in Shenzhen, Shenzhen 518066, China.

Caroli's disease is a rare congenital disease characterized by non-obstructive dilatation of the intrahepatic bile ducts, with a prevalence of one in a million in the general population[1]. Most of it is considered to be an autosomal recessive genetic disease, but in many cases, the typical genetic family history cannot be traced back. There are two forms of Caroli's disease: simple type (commonly called Caroli disease) and Caroli syndrome (characterized by congenital liver fibrosis and/or polycystic kidney disease). Read More

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February 2021

A Rare Case of Choledochal Cyst Presented as Sudden and Severe Abdominal Pain.

Authors:
Lung-Huang Lin

J Med Ultrasound 2020 Oct-Dec;28(4):256-259. Epub 2020 Sep 12.

Department of Pediatrics, Cathay General Hospital, Taipei, Taiwan.

We report a pediatric case of Type 1C choledochal cyst presented as acute biliary colic pain. Choledochal cyst is an abnormal expansion of the biliary tract. The Type 1 choledochal cyst is the cystic dilation of the common bile duct. Read More

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September 2020

Acute cholecystitis in a patient with choledochal cyst and concomitant choledocholithiasis.

ANZ J Surg 2021 Mar 2. Epub 2021 Mar 2.

Department of Upper Gastrointestinal and Hepatobiliary Surgery, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.

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Minimally invasive surgery for choledochal cysts: Laparoscopic versus robotic approaches.

Ann Hepatobiliary Pancreat Surg 2021 Feb;25(1):71-77

Division of HBP Surgery, Department of Surgery, Yonsei University College of Medicine, Seoul, Korea.

Backgrounds/aims: Minimally invasive surgery is a widely accepted approach in hepatobiliary surgery and choledochal cyst excision has also been performed by minimally invasive methods, including laparoscopic and robotic approaches. However, only a few studies have compared laparoscopic and robotic surgery. Therefore, we performed a comparative study between two groups, including cost aspects. Read More

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February 2021