CHOLEDOCHAL CYST DIAGNOSTIC AND OPERATIVE CHALLENGE
Abstract
The variations in the morphological characteristics of the extra-hepatic biliary system are numerous. It has been stated that the extra-hepatic biliary system has more anomalies in one cubic centimeter of the space around the region of the cystic duct than any other part of the body (1,2).
The incidence of congenital anomalies of the extra-hepatic biliary system varies between 0.58% and 47.2% (3).One such rare anomaly is Choledochal cyst ( CDC), also known as congenital common bile duct cyst (BDC), is a rare type of bile duct cyst of uncertain origin. The majority of cases reported are young women and children of Asian descent. In North America, its incidence is estimated to be 1/150 000(2), but it is increasing in Western adults. The most common symptoms of CDC are abdominal pain, jaundice and abdominal mass.(4)
References
1. Robin kaushik MS, Attri AKMS. Hepaticocystic Duct-A Case Report. The International Journal of Surgery. 2005;21:1528–8242.
2. Walia HS, Abraham TK, Baraka A. Gallbladder Interposition: A Rare Anomaly of the Extrahepatic Ducts. Int Surg. 1986;71:117–21. [PubMed]
3. Lamah M, Dickson GH. Congenital anatomical abnormalities of the extrahepatic biliary duct: a personal audit. Surg Radiol Anat. 1999;21:325–7. doi: 10.1007/BF01631333. [PubMed]
4. Lamah M, Karanjia ND, Dickson GH. Anatomical variations of the Extrahepatic Biliary Tree; Review of the World Literature. Clin Anat. 2001;14:167–72. doi: 10.1002/ca.1028. [PubMed]
5. odani T, Watanabe Y, Narusue M, Tabuchi K, Okajima K. Congenital bile duct cysts: Classification, operative procedures, and review of thirty-seven cases including cancer arising from choledochal cyst. Am J Surg. 1977;134:263–269. [PubMed]
6. Wiseman K, Buczkowski AK, Chung SW, Francoeur J, Schaeffer D, Scudamore CH. Epidemiology, presentation, diagnosis, and outcomes of choledochal cysts in adults in an urban environment. Am J Surg. 2005;189:527–531; discussion 531. [PubMed]
7. Söreide K, Körner H, Havnen J, Söreide JA. Bile duct cysts in adults. Br J Surg. 2004;91:1538–1548. [PubMed]
8. Akaraviputh T, Boonnuch W, Watanapa P, Lert-Akayamanee N, Lohsiriwat D. Surgical management of adult choledochal cysts. J Med Assoc Thai. 2005;88:939–943. [PubMed]
9. Adamek HE, Schilling D, Weitz M, Riemann JF. Choledochocele imaged with magnetic resonance cholangiography. Am J Gastroenterol. 2000;95:1082–1083. [PubMed]
10. Jordan PH Jr, Goss JA Jr, Rosenberg WR, Woods KL. Some considerations for management of choledochal cysts. Am J Surg. 2004;187:790–795. [PubMed]
11. Karrer FM, Hall RJ, Stewart BA, Lilly JR. Congenital biliary tract disease. Surg Clin North Am. 1990;70:1403–1418. [PubMed]
12. asai M, Asakura Y, Tamia Y. Surgical treatment of choledochal cyst. Ann Surg. 1970;172:844–51. [PMC free article] [PubMed]
13. Daniel DS. Choledochal cyst: report of a case. Ann Surg. 1962;155:902–5. [PMC free article] [PubMed]
14. Tsuchiya R, Harada N, Ito T, et al. Malignant tumors in choledochal cysts. Ann Surg. 1977;186:22–8. [PMC free article] [PubMed]
15. Watanabe Y, Toki A, Todani T. Bile duct cancer developed after cyst excision for choledochal cyst. J Hepatobiliary Pancreat Surg. 1999;6:207–12. [PubMed]
16. Tao KS, Lu YG, Wang T, et al. Procedure for congenital choledochal cysts and curative effect analysis in adults. Hepatobiliary Pancreat Dis Int. 2002;1:442–5. [PubMed]
17. Saing H, Han H, Chen KL. Early and late results of excision of choledochal cyst. J Pediatr Surg. 1997;32:1563–6. [PubMed]
18. Gardikis S, Antypas S, Kambouri K, et al. The Roux-en-Y procedure in congenital hepatobiliary disorders. Rom J Gastroenterol. 2005;14:135–40. [PubMed]
19. Yoshikane H, Hashimoto S, Hidano H. Multiple early bile duct carcinoma associated with congenital choledochal cyst. J Gastroenterol. 1998;33:454–7. [PubMed]
20. Todani T, Watanabe Y, Toki A, et al. Reoperation for congenital choledochal cyst. Ann Surg. 1988;207:142–7. [PMC free article] [PubMed]
21. Fieber SS, Nance FC. Choledochal cyst and neoplasm: a comprehensive review of 106 cases and presentation of two original cases. Am Surg. 1997;63:982–7. [PubMed]
2. Walia HS, Abraham TK, Baraka A. Gallbladder Interposition: A Rare Anomaly of the Extrahepatic Ducts. Int Surg. 1986;71:117–21. [PubMed]
3. Lamah M, Dickson GH. Congenital anatomical abnormalities of the extrahepatic biliary duct: a personal audit. Surg Radiol Anat. 1999;21:325–7. doi: 10.1007/BF01631333. [PubMed]
4. Lamah M, Karanjia ND, Dickson GH. Anatomical variations of the Extrahepatic Biliary Tree; Review of the World Literature. Clin Anat. 2001;14:167–72. doi: 10.1002/ca.1028. [PubMed]
5. odani T, Watanabe Y, Narusue M, Tabuchi K, Okajima K. Congenital bile duct cysts: Classification, operative procedures, and review of thirty-seven cases including cancer arising from choledochal cyst. Am J Surg. 1977;134:263–269. [PubMed]
6. Wiseman K, Buczkowski AK, Chung SW, Francoeur J, Schaeffer D, Scudamore CH. Epidemiology, presentation, diagnosis, and outcomes of choledochal cysts in adults in an urban environment. Am J Surg. 2005;189:527–531; discussion 531. [PubMed]
7. Söreide K, Körner H, Havnen J, Söreide JA. Bile duct cysts in adults. Br J Surg. 2004;91:1538–1548. [PubMed]
8. Akaraviputh T, Boonnuch W, Watanapa P, Lert-Akayamanee N, Lohsiriwat D. Surgical management of adult choledochal cysts. J Med Assoc Thai. 2005;88:939–943. [PubMed]
9. Adamek HE, Schilling D, Weitz M, Riemann JF. Choledochocele imaged with magnetic resonance cholangiography. Am J Gastroenterol. 2000;95:1082–1083. [PubMed]
10. Jordan PH Jr, Goss JA Jr, Rosenberg WR, Woods KL. Some considerations for management of choledochal cysts. Am J Surg. 2004;187:790–795. [PubMed]
11. Karrer FM, Hall RJ, Stewart BA, Lilly JR. Congenital biliary tract disease. Surg Clin North Am. 1990;70:1403–1418. [PubMed]
12. asai M, Asakura Y, Tamia Y. Surgical treatment of choledochal cyst. Ann Surg. 1970;172:844–51. [PMC free article] [PubMed]
13. Daniel DS. Choledochal cyst: report of a case. Ann Surg. 1962;155:902–5. [PMC free article] [PubMed]
14. Tsuchiya R, Harada N, Ito T, et al. Malignant tumors in choledochal cysts. Ann Surg. 1977;186:22–8. [PMC free article] [PubMed]
15. Watanabe Y, Toki A, Todani T. Bile duct cancer developed after cyst excision for choledochal cyst. J Hepatobiliary Pancreat Surg. 1999;6:207–12. [PubMed]
16. Tao KS, Lu YG, Wang T, et al. Procedure for congenital choledochal cysts and curative effect analysis in adults. Hepatobiliary Pancreat Dis Int. 2002;1:442–5. [PubMed]
17. Saing H, Han H, Chen KL. Early and late results of excision of choledochal cyst. J Pediatr Surg. 1997;32:1563–6. [PubMed]
18. Gardikis S, Antypas S, Kambouri K, et al. The Roux-en-Y procedure in congenital hepatobiliary disorders. Rom J Gastroenterol. 2005;14:135–40. [PubMed]
19. Yoshikane H, Hashimoto S, Hidano H. Multiple early bile duct carcinoma associated with congenital choledochal cyst. J Gastroenterol. 1998;33:454–7. [PubMed]
20. Todani T, Watanabe Y, Toki A, et al. Reoperation for congenital choledochal cyst. Ann Surg. 1988;207:142–7. [PMC free article] [PubMed]
21. Fieber SS, Nance FC. Choledochal cyst and neoplasm: a comprehensive review of 106 cases and presentation of two original cases. Am Surg. 1997;63:982–7. [PubMed]
Published
2011-06-01
How to Cite
MAHJOUB TAHA, Sami et al.
CHOLEDOCHAL CYST DIAGNOSTIC AND OPERATIVE CHALLENGE.
Gezira Journal of Health Sciences, [S.l.], v. 7, n. 1, june 2011.
ISSN 1810-5386. Available at: <http://37.60.236.48/index.php/gjhs/article/view/294>. Date accessed: 03 june 2026.
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