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Choledochal cyst in childhood

C M Kullendorff1

  • 1Department of Paediatric Surgery, University Hospital, Lund, Sweden.

Annales Chirurgiae Et Gynaecologiae
|January 1, 1994
PubMed
Summary

Four young girls with choledochal cysts underwent successful surgical treatment. Early ultrasonography is recommended for children with biliary tract symptoms to ensure timely diagnosis and intervention.

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Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Medical Imaging

Background:

  • Choledochal cysts are congenital bile duct dilatations.
  • Early diagnosis and surgical intervention are crucial for pediatric patients.

Observation:

  • Four pediatric patients (girls aged 6-9) presented with abdominal pain, jaundice, and right upper quadrant tenderness.
  • Ultrasonography revealed cystic dilatation of the choledochus.
  • Endoscopic retrograde cholangiopancreatography (ERCP) confirmed the diagnosis and delineated the pancreaticobiliary junction.

Findings:

  • All patients underwent complete excision of the choledochal cyst and extrahepatic biliary tree.
  • A Roux-en-Y hepaticojejunostomy was performed in all cases.
  • Postoperative recovery was uneventful for all patients.

Implications:

  • Complete excision and Roux-en-Y hepaticojejunostomy are effective treatments for pediatric choledochal cysts.
  • Abdominal ultrasonography should be liberally used for children presenting with biliary tract symptoms.
  • Timely diagnosis via imaging modalities like ultrasonography and ERCP is vital for favorable outcomes.

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