An analysis of Choledochal Cysts in Adults.
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2019, Vol 4, Issue 1
Abstract
Background Choledochal Cyst (CCD) is not an isolated entity but a constellation of pathological abnormalities in the pancreatohepatobiliary system. Alonso-Lej et al (1959) proposed an anatomical classification. Todani et al (1977) described the choledochal cysts into five types based upon the anatomy of the cyst and distribution within the hepatobiliary tree. Multiple theories have been proposed to explain the origin of bile duct cysts . Methods It is a a retrospective review of 8 patients who underwent surgery in our tertiary care hospital during the period January 2016 to 2018 , Department of Surgical Gastroenterology , Govt. KMC Hospital, Chennai Results Eight cases of choledochal cyst were managed ; 6 female (75%) and 2 males(25%) .Age ranged from 28 years to 64 years. According to modified Todani’s classification there were 7 cases of Todani type I (87.5%)and one case of Type IV A.(12.5%). Surgical intervention included complete excision of the cyst with Roux-en-Y Hepaticojejunostomy in 6(75%) patients and Lilly’s procedure in one patient (12.5%)and non-operative management in one patient. There were no evidence of Malignancy reported in any of these patients. Conclusion Choledochal cyst is rare in adults. Studies suggest that nearly 80% of individuals with bile duct cysts are complicated by any one of these potential problems like cystolithiasis, pancreatitis, cholangiocarcinoma, intrahepatic abscess and cirrhosis with portal hypertension. The surgical strategy aims for single stage complete excision of the cyst with hepaticojejunostomy.
Authors and Affiliations
Dr. Selvaraj T.
Keywords
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