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Forme fruste choledochal cyst.

J R Lilly, G P Stellin, F M Karrer

    Journal of Pediatric Surgery
    |August 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    Forme fruste choledochal cyst, a variant of pancreaticobiliary malformations, presents without a cystic component but with distal common bile duct stenosis. Treatment involves surgical resection and reconstruction, similar to typical choledochal cysts.

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    Area of Science:

    • Gastroenterology
    • Pediatric Surgery
    • Surgical Pathology

    Background:

    • Choledochal cysts are congenital bile duct dilatations.
    • Pancreaticobiliary malformations (PBMs) represent a spectrum of anomalies.
    • Forme fruste choledochal cyst is a rare variant lacking the typical cystic dilatation.

    Purpose of the Study:

    • To describe the clinical, pathological, and surgical features of forme fruste choledochal cyst.
    • To evaluate the treatment and outcomes for this specific PBM variant.
    • To establish forme fruste choledochal cyst as part of the choledochal cyst spectrum.

    Main Methods:

    • Case series analysis of four pediatric patients.
    • Review of clinical presentations, imaging, and histopathology.

    Related Experiment Videos

  • Surgical management involving common bile duct resection and Roux-en-Y choledochojejunostomy.
  • Main Results:

    • Patients presented with distal common bile duct stenosis, long common channel, and microscopic choledochal cyst features, but no cystic component.
    • Coexisting intrahepatic duct abnormalities were noted in three patients.
    • Surgical outcomes were generally favorable, with one case requiring revision for anastomotic stricture.

    Conclusions:

    • Forme fruste choledochal cyst is a distinct entity within the PBM spectrum.
    • Surgical excision of affected ductal tissue is the standard treatment.
    • This variant requires management similar to classic choledochal cysts.