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Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
Ciliated hepatic foregut cysts in children
Victor Zaydfudim1, Michael J Rosen, Lynette A Gillis
1Department of Surgery, Monroe Carell Jr. Children's Hospital at Vanderbilt University, Nashville, TN, USA. vic.zaydfudim@vanderbilt.edu
Pediatric Surgery International
|September 18, 2009
Summary
Ciliated hepatic foregut cysts (CHFC) are rare malformations. Prompt evaluation and surgical excision are crucial for symptomatic pediatric patients to prevent potential malignant transformation.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Pediatric Surgery
Background:
- Ciliated hepatic foregut cysts (CHFC) are rare congenital anomalies originating from foregut development.
- While typically diagnosed in adults, CHFC can occur in pediatric patients, presenting unique diagnostic and management challenges.
Observation:
- A symptomatic 17-year-old female presented with a large (6.5 x 4.5 cm) CHFC.
- The cyst was identified as a significant foregut developmental malformation requiring surgical intervention.
Findings:
- The case highlights the potential for CHFC to manifest in adolescents.
- Surgical management was successfully performed for the symptomatic pediatric patient.
Implications:
- Early diagnosis and complete surgical excision of CHFC in pediatric patients are recommended.
- Proactive management may mitigate the risk of malignant transformation, a known complication of CHFC.
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