Large choledochocoele : difficulties in radiological diagnosis

A choledochocoele is a dilatation of the intramural portion of the distal common bile duct within the duodenal wall. It usually presents with recurrent crises of right upper quadrant pain, hyperamylasaemia or jaundice. We present a 12-year-old boy with a choledochocoele that was missed on several US...

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Published inPediatric radiology Vol. 29; no. 11; pp. 807 - 810
Main Authors ARENAS-JIMENEZ, J. J, GOMEZ-FERNANDEZ-MONTES, J, MAS-ESTELLES, F, CORTINA-ORTS, H
Format Journal Article
LanguageEnglish
Published Berlin Springer 01.11.1999
Springer Nature B.V
Subjects
Biological and medical sciences
Child
Cholangiography
Cholangiopancreatography, Endoscopic Retrograde
Choledochal Cyst - diagnostic imaging
Choledochal Cyst - surgery
Diagnosis, Differential
Duodenum - surgery
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Male
Medical sciences
Other diseases. Semiology
Ultrasonography
Sonography
Human
Case study
Choledochectasia
Large dimension
Radiodiagnosis
Echography
Digestive diseases
Male
Diagnosis
Biliary tract disease
Child
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Summary:A choledochocoele is a dilatation of the intramural portion of the distal common bile duct within the duodenal wall. It usually presents with recurrent crises of right upper quadrant pain, hyperamylasaemia or jaundice. We present a 12-year-old boy with a choledochocoele that was missed on several US examinations despite its large size. Findings on US, IV cholangiography, upper gastrointestinal contrast studies, ERCP and surgery are shown. The histological findings as well as the usual differential diagnosis are discussed.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
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ISSN:0301-0449
1432-1998
DOI:10.1007/s002470050700