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Choledochal cyst: a 10-year experience.

K N Rattan1, P Khurana, S Budhiraja

  • 1Department of Pediatric Surgery, Pt. B.D. Sharma Postgraduate Institute of Medical Sciences, Rohtak.

Indian Journal of Pediatrics
|October 12, 2000
PubMed
Summary
This summary is machine-generated.

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This retrospective study of 11 choledochal cyst cases found ultrasonography diagnostic in 80%. Total cyst excision with hepaticojejunostomy is recommended as the preferred treatment for choledochal cysts.

Area of Science:

  • Gastroenterology
  • Pediatric Surgery
  • Hepatobiliary Surgery

Background:

  • Choledochal cysts are rare congenital biliary anomalies.
  • Diagnosis and optimal management remain areas of interest.
  • The classical triad of symptoms is infrequently observed.

Purpose of the Study:

  • To review the clinical presentation, diagnostic methods, and surgical outcomes of choledochal cyst cases.
  • To evaluate the efficacy of different surgical approaches.
  • To establish the preferred surgical treatment for choledochal cysts.

Main Methods:

  • Retrospective analysis of 11 choledochal cyst cases over 10 years.
  • Review of patient demographics, clinical presentation, diagnostic imaging (ultrasonography), and surgical procedures.

Related Experiment Videos

  • Assessment of short-term and long-term follow-up outcomes.

    • Main Results:

    • 8 females and 3 males (2.67:1 ratio) were studied.
    • Ultrasonography was diagnostic in 9 out of 11 (80%) patients.
    • Complete cyst excision with Roux-en-Y hepaticojejunostomy was performed in 9 cases; one patient died postoperatively, while others had good long-term follow-up.

    Conclusions:

    • The classical triad of jaundice, abdominal mass, and pain is uncommon in choledochal cysts.
    • Ultrasonography is a valuable diagnostic tool.
    • Total cyst excision with hepaticojejunostomy is the recommended treatment of choice for choledochal cysts.