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Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
Successful endoscopic unroofing for a pediatric choledochocele
Isamu Saeki1, Yukiko Takahashi, Toshiharu Matsuura
1Department of Pediatric Surgery, Faculty of Medical Sciences, Kyushu University, Fukuoka 812-8582, Japan.
Journal of Pediatric Surgery
|July 29, 2009
Summary
A rare choledochocele, a type 3 choledochal cyst, was diagnosed in a child with recurrent abdominal pain. Endoscopic unroofing provided a successful treatment, resolving symptoms without complications.
Area of Science:
- Pediatric Gastroenterology
- Hepatobiliary Surgery
Background:
- Choledochal cysts are congenital dilations of the bile ducts.
- Type 3 choledochal cysts (choledochoceles) are rare, particularly in pediatric populations.
- Recurrent abdominal pain can be a presenting symptom in children with biliary anomalies.
Observation:
- A 6-year-old boy presented with recurrent episodes of abdominal pain over five months.
- Magnetic resonance cholangiopancreatography identified a small cyst in the distal common bile duct.
- Endoscopic examination confirmed a choledochocele at the duodenal papilla.
Findings:
- The choledochocele was successfully treated with endoscopic unroofing.
- The patient experienced an uneventful postoperative recovery.
- This case highlights the successful endoscopic management of a pediatric choledochocele.
Implications:
- Endoscopic unroofing is a viable and effective treatment for pediatric choledochoceles.
- Early diagnosis and intervention can prevent complications associated with choledochal cysts.
- This approach offers a minimally invasive option for managing biliary ductal anomalies in children.
