Surgery Today

, Volume 26, Issue 4, pp 281–285

Choledochocele: Changing trends in diagnosis and management

Authors

  • Riccardo Masetti
    • Department of SurgeryCatholic University of Rome, Policlinico Universitario “A. Gemelli”
  • Armando Antinori
    • Department of SurgeryCatholic University of Rome, Policlinico Universitario “A. Gemelli”
  • Roberto Coppola
    • Department of SurgeryCatholic University of Rome, Policlinico Universitario “A. Gemelli”
  • Claudio Coco
    • Department of SurgeryCatholic University of Rome, Policlinico Universitario “A. Gemelli”
  • Claudio Mattana
    • Department of SurgeryCatholic University of Rome, Policlinico Universitario “A. Gemelli”
  • Antonio Crucitti
    • Department of SurgeryCatholic University of Rome, Policlinico Universitario “A. Gemelli”
  • Antonio La Greca
    • Department of SurgeryCatholic University of Rome, Policlinico Universitario “A. Gemelli”
  • Guido Fadda
    • Department of PathologyCatholic University of Rome, Policlinico Universitario “A. Gemelli”
  • Paolo Magistrelli
    • Department of SurgeryCatholic University of Rome, Policlinico Universitario “A. Gemelli”
  • Aurelio Picciochi
    • Department of SurgeryCatholic University of Rome, Policlinico Universitario “A. Gemelli”
Case Reports

DOI: 10.1007/BF00311589

Cite this article as:
Masetti, R., Antinori, A., Coppola, R. et al. Surg Today (1996) 26: 281. doi:10.1007/BF00311589

Abstract

Eighty-four patients with choledochocele collected from the world literature and one personal observation are reviewed. The main issues regarding clinical presentation, diagnostic work-up, and the treatment of this uncommon lesion are discussed. Abdominal pain was the most common clinical feature (91% of cases), followed by pancreatitis (38%), nausea or vomiting (35%), and jaundice (26%). In addition, associated lithiasis was found in 43% of the cases. Endoscopic retrograde cholangiopancreatography was the most useful diagnostic procedure and resulted in a correct diagnosis in all but one of the patients investigated by this method. Surgical excision of the duodenal luminal portion of the choledochocele was the treatment most commonly used (65% of cases). In recent years, operative endoscopy has also been increasingly used, with good results.

Key Words

choledochocelecholedochal cystsdiagnostic sensitivitysurgical treatmentendoscopic treatment

Copyright information

© Springer-Verlag 1996