Cystic Dilatations of the Common Bile Duct in Adults

Cystic dilatations of the common bile duct are believed to be of congenital etiology with most cases presenting in childhood. During the last 20 years, 10 patients with cystic dilatations of the bile duct were treated in our Department. There were 5 men and 5 women with an age range of 35-81 years....

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Published inHPB Surgery Vol. 1996; no. 2; pp. r91 - 95
Main Authors Kouraklis, G, Misiakos, E, Glinavou, A, Karatzas, G, Gogas, J, Skalkeas, G
Format Journal Article
LanguageEnglish
Published United States Hindawi Limiteds 1996
Hindawi Publishing Corporation
Subjects
Adult
Aged
Aged, 80 and over
Biliopancreatic Diversion
Cholangiography
Cholangiopancreatography, Endoscopic Retrograde
Cholangitis - etiology
Choledochal Cyst - classification
Choledochal Cyst - complications
Choledochal Cyst - diagnosis
Choledochal Cyst - surgery
Drainage
Female
Follow-Up Studies
Gallstones - etiology
Humans
Male
Middle Aged
Sphincterotomy, Endoscopic
congenital bile duct cysts
choledochocele
choledochal cyst
Billiary cysts
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Summary:Cystic dilatations of the common bile duct are believed to be of congenital etiology with most cases presenting in childhood. During the last 20 years, 10 patients with cystic dilatations of the bile duct were treated in our Department. There were 5 men and 5 women with an age range of 35-81 years. Clinical presentation consisted of right hypohondrial pain, nausea, vomiting and a history of obstructive jaundice. Diagnosis was established by ultrasound, cholangiography and ERCP in most cases. According to the Todani classification system, 5 patients had type cysts, 4 had type II and one had type III. At the time of surgery, main associated diseases were choledocholithiasis in 3 cases and cholangitis in 2 cases. One patient (type III) underwent endoscopic sphincterotomy; 4 patients underwent internal drainage and 2 of them developed mild cholangitis postoperatively; 5 patients underwent excision of the cyst and a biliary-enteric bypass and developed no main complications. Patients remained in good health during long-term follow-up. We conclude that cyst excision is the treatment of choice for adults in order to reduce postoperative morbidity and the potential risk of malignancy.
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ISSN:0894-8569
1607-8462
DOI:10.1155/1996/28924