Management of choledochal cyst in tertiary care center - A case series
Journal Title: Medpulse International Journal of Surgery - Year 2019, Vol 9, Issue 3
Abstract
Background: Choledochal cysts are congenital cystic dilations of extrahepatic and/or intrahepatic biliary tree. Although frequently diagnosed in infancy or childhood, as many as half of patients have reached adulthood when diagnosed. Clinical course is highly associated with hepatobiliary pathology and pancreatic pathology. Aim and objective: To study outcome of complete choledochal cyst excision with hepaticojejunostomy Material and method: Clinical data of 16 patients with choledochal cyst managed in tertiary care center between November 2015 to March 2017 was analysed. Results: The male to female ratio was 9:7 and among them 9/16 were todani type 4, 5/16 were todani type 1 while other 2 were type 2. Abdominal pain and recurrent cholangitis were the commonest presentations followed by acute pancreatitis and palpable mass. All patients have undergone complete excision of choledochal cyst and hepaticojejunostomy was performed. There were two anastomotic leaks and three had surgical site infection. Anastomotic leaks resolved spontaneously. All 16 patients were available for follow-up and remained symptom free throughout the 6 month follow-up. Conclusion: Choledochal cyst should be considered in all patients presenting with biliary colic, pancreatitis or recurrent cholangitis with associated dilation of bile duct as differential diagnosis. Complete excision of cyst with restoration of biliary pathway to communicate with gut by hepaticojejunostomy form the base for ideal treatment.
Authors and Affiliations
Yoganand Dadge, Avinash Badne, Ravindra Irpatgire, Raghavendra Deshmukh
Keywords
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