Related Experiment Videos
Endoscopic treatment of a choledochocele in a 2-year-old child
M Dohmoto1, T Kamiya, M Hünerbein
1Virchow Klinikum, Humboldt Universität zu Berlin, Department of Surgery of Robert-Rössle Hospital, Lindenbergerweg 80, 13122 Berlin, Germany.
Insights
This study presents a rare case of choledochocele in a 2-year-old girl, successfully treated with endoscopic sphincterotomy and a biliary stent. The minimally invasive approach offers a promising alternative to surgery for congenital biliary anomalies.
Area of Science:
- Pediatric Gastroenterology
- Hepatobiliary Surgery
- Endoscopic Interventions
Background:
- Choledochocele, a rare congenital biliary anomaly, typically presents with abdominal pain, pancreatitis, and obstructive cholestasis.
- Surgical intervention has been the traditional treatment for choledochocele.
- Endoscopic therapy is emerging as a viable alternative for adult choledochocele treatment.
Observation:
- A 2-year-old female patient diagnosed with choledochocele.
- The patient underwent successful endoscopic treatment involving sphincterotomy and biliary stent placement.
- The biliary stent was removed after 4 months, with the patient remaining asymptomatic at a 20-month follow-up.
Findings:
- Endoscopic management of choledochocele in a pediatric patient achieved a successful outcome.
- The patient experienced complete symptom resolution following the endoscopic procedure and stent removal.
- This case highlights the feasibility and efficacy of endoscopic intervention for congenital biliary tract lesions in children.
Implications:
- Endoscopic therapy presents a potentially effective and less invasive treatment option for pediatric choledochocele.
- Further research is warranted to establish the long-term value of biliary stent implantation in congenital bile duct stenosis.
- This approach may offer a valuable alternative to traditional surgery for congenital biliary diseases in pediatric populations.
Abstract:
Choledochocele is an extremely rare congenital lesion of the biliary tree causing abdominal pain, pancreatitis, and obstructive cholestasis. Traditionally the therapy for this malformation has been surgery. Recently endoscopic therapy has been utilized alternatively for the treatment of choledochocele in adults. We report the case of a 2-year-old girl with a choledochocele who was treated by endoscopic sphincterotomy and placement of a biliary stent. The prosthesis was removed after 4 months. After a follow-up of 20 months the patient remains free of symptoms. Our experience suggests that endoscopic treatment of congenital biliary disease can be performed accurately. Further studies will be necessary to confirm the value of stent implantation in congenital bile duct stenosis.