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Choledochal cyst: A difficult diagnosis

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DOI: 10.4236/ojgas.2013.31013    3,699 Downloads   5,666 Views   Citations

ABSTRACT

Choledochal cyst is defined as a cystic dilatation of the distal common bile duct protruding into the duo- denum. It is considered as the rarest congenital cyst of the biliary tract by 1.4%. We report a 46 years old woman who presented with recurrent jaundice associated with abdominal pain of 07 years duration. The liver function tests showed cholestasis. The abdominal scan and Biliary MRI revealed a dilatation of intrahepatic, pancreatic ducts and a dilatation of the common bile duct with a stenosis in its the lower part. The diagnosis of a common bile duct cholangiocarinoma was mentioned. The gastroscopy revealed a stenosed duodenal bulb not allowing us to perform an echo endoscopy and ERCP. An intraoperative cholangiography illustrating a cystic dilatation of the papillary region in which exist a separate protrusion of the choledochal and wirsung ducts. Therefore, we didn’t accomplish the cephalic duodeno-pancreatectomy and we decided to realize a partial resection of the papilla. The histolological examination proved the absence of any tumoral lesion and the presence of biliary mucosa layered the internal surface of the cyst. The patient is still asymptomatic after one year of the surgery.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Ali, A. , Rouibaa, F. , Bekkar, M. , Baba, H. , Sall, I. , Bounaim, A. , Zentar, A. , Aourarh, A. and Sair, K. (2013) Choledochal cyst: A difficult diagnosis. Open Journal of Gastroenterology, 3, 84-86. doi: 10.4236/ojgas.2013.31013.

References

[1] Berger, A., Douard, R., Landi, B., Poupardin, E., Canard, J.M., Cellier, C., et al. (2007) Endoscopic management of a large choledochocele associated with choledocholithiasis. Gastroentérologie Clinique et Biologique, 31, 200 203. doi:10.1016/S0399-8320(07)89356-0
[2] Mannai, S., Kraiem, T., Gharbi, L., Haoues, N., Mestiri, H. and Khalfallah, M.T. (2006) Les dilatations kystiques congénitales des voies biliaires. Annales de Chirurgie, 131, 369-374. doi:10.1016/j.anchir.2006.03.008
[3] Fritsch, J., Prat, F., Pelletier, G. and Buffet, C. (1999) Anomalies anatomiques de la région papillaire et pathol ogie bilio-pancréatique. Gastroentérologie Clinique et Biologique, 23, 717-729.
[4] Ladas, S.D., Katsogridakis, I., Tassios, P., Tastemiroglou, T., Vrachliotis, T. and Raptis, S.A. (1995) Choledochocele, an overlooked diagnosis: Report of 15 cases and review of 56 reports from 1984 to 1992. Endoscopy, 27, 233-239. doi:10.1055/s-2007-1005677
[5] Kabbaj, N., Ababou, A., El Fakir, Y., Amarouch, N., Dafiri, R., Sbihi, A., et al. (1998) A propos d’un cas de pancréatite aigue révélant une dilatation kystique du cholédoque. Journal of Radiology, 79, 1393-1397.

  
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