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.
Similar content being viewed by others
References
Flanigan DP (1975) Biliary cysts. Ann Surg 182:635–643
Yamaguchi M (1980) Congenital choledochal cyst: Analysis of 1,433 patients in the Japanese literature. Am J Surg 140:653–657
Scholz FJ, Carrera GF, Larsen CR (1976) The choledochocele: Correlation of radiological, clinical and pathological findings. Radiology 118:25–28
Venu RP, Geenen JE, Hogan WJ, Dodds WJ, Wilson SW, Stewart ET, Soergel KH (1984) Role of endoscopic retrograde cholangiopancreatography in the diagnosis and treatment of choledochocele. Gastroenterology 87:1144–1149
Sarris GE, Tsang D (1989) Choledochocele: Case report, literature review and a proposed classification. Surgery 105:408–413
Martin RF, Biber BP, Bosco JJ, Howell DA (1992) Symptomatic choledochoceles in adults: Endoscopic retrograde cholangiopancreatography, recognition and management. Arch Surg 127:536–539
Becker CD, Nagy AG, Gibney RG, Burhenne HJ (1987) Diagnosis and treatment of choledochocele complicated by choledocholithiasis (case report). Gastrointest Radiol 12:322–324
Kagiyama S, Okazaki K, Yamamoto Y, Yamamoto Y (1987). Anatomic variants of choledochocele and manometric measurements of pressure in the cele and the orifice zone. Am J Gastroenterol 82:641–649
Pollack M, Shirkhoda A, Charnsangavej C (1985) Computed tomography of choledochocele. J Comput Assist Tomogr 9:360–362
Ozawa K, Yamada T, Matumoto Y, Tobe R (1980) Carcinoma arising in a choledochocele. Cancer 45:195–197
Donald JJ, Coral A, Lees WR (1989) Choledochocele complicated by carcinoma. Clin Radiol 40:101–103
Pisano G, Donlon JB, Platell C, Hall JC (1991) Cholangiocarcinoma in a type III choledochal cyst. Aust N Z J Surg 61:855–857
Dehyle P, Schnaars P, Meyer HJ (1974) Perorale endoskopischelektrochirurgische Abtragung einer Choledochocele. Dtsch Med Wochenschr 99:71–72
Nagasawa S, Tanaka M, Seki H (1983) Two cases of choledochocele: Therapeutic trial of endoscopic papillotomy (in Japanese). Jpn J Gastroenterol 80:1490–1495
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Masetti, R., Antinori, A., Coppola, R. et al. Choledochocele: Changing trends in diagnosis and management. Surg Today 26, 281–285 (1996). https://doi.org/10.1007/BF00311589
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00311589