Gastrointestinal Radiology

, Volume 1, Issue 1, pp 305–313 | Cite as

Choledochal cyst in adults

A clinical and radiological study in ten cases
  • Gary G. Ghahremani
  • Chien-Tai Lu
  • Ray M. Woodlief
  • Vincent P. Chuang
Article

Abstract

Choledochal cysts are being recognized with an increasing frequency among the adult population. In this series a correct preoperative diagnosis was established in eight of the ten patients. The clinical triad of obstructive jaundice, right upper abdominal pain, and a palpable flactuant mass was noted in only two cases but at least one of these symptoms was present in all patients. Acute pancreatitis, cholecystitis, and biliary calculi were the commonly associated findings. New etiologic and clinical concepts of choledochal cysts are reviewed and the spectrum of radiographic features in adults is presented.

Key words

Biliary tract: abnormalities, cysts, diseases, obstruction Cholangiography: infusion, isotope, operative Choledochal cyst: areteriographic features, complications, diagnosis 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Alonso-Lej F, Rever WB Jr, Pessagno DJ: Congenital choledochal cyst, with a report of 2 and analysis of 94 cases.Int Abst Surg 108: 1–30, 1959Google Scholar
  2. 2.
    Han SY, Collins LC, Wright RM: Choledochal cyst: report of five cases.Clin Radiol 20: 332–336, 1969Google Scholar
  3. 3.
    Hays DM, Goodman GN, Synder WH Jr, Woolley MM: Congenital cystic dilatation of the common bile duct.Arch Surg 98: 457–461, 1969Google Scholar
  4. 4.
    Mahour GH, Lynn HB: Choledochal cyst in children.Surgery 65: 967–971, 1969Google Scholar
  5. 5.
    Tsardakas EN, Robnett AH: Congenital cystic dilatation of common bile duct. Report of 3 cases, analysis of 57 cases, and review of the literature.Arch Surg 72: 311–327, 1956Google Scholar
  6. 6.
    Jacobs RP, Palubinskas AJ: Angiographic findings of choledochal cyst.Br J Radiol 48: 51–52, 1975Google Scholar
  7. 7.
    Jones CA, Olbourne NA: Choledochal cyst with associated cholelithiasis diagnosed by infusion cholangiography and tomography.Br J Radiol 46: 711–714, 1973Google Scholar
  8. 8.
    Loubeau JM, Steichen FM: Dilatation of intrahepatic bile ducts in choledochal cyst. Case report with follow-up and review of the literature.Arch Surg 111: 1384–1390, 1976Google Scholar
  9. 9.
    Piyachon C, Poshyachinda M, Dhitavat V: Hepatoscintigraphy, arteriography, and ultrasonography in preoperative dighosis of choledochal cyst.AM J Roentgenol 127: 520–523, 1976Google Scholar
  10. 10.
    Warren KW, Kune GA, Hardy KJ: Biliary ducts cysts.Surg Clin N Am 48: 567–577, 1968Google Scholar
  11. 11.
    Weber BB, Soler FJ, Font RG, Nance FC: Carcinoma arising in a choledochal cyst.Am J Dig Dis 16: 1019–1025, 1971Google Scholar
  12. 12.
    Ravitch MM, Snyder GB: Congenital cystic dialation of the common bile duct. Special reference to radiographic studies.Surgery 44: 752–765, 1958Google Scholar
  13. 13.
    Babbitt DP, Starshak RJ, Clemett AR: Choledochal cyst: a concept of etiology.Am J. Roentgenol 119: 57–62, 1973Google Scholar
  14. 14.
    Rosenfield N, Griscom NT: Choledochal cysts: roentgenographic techniques.Radiology 114: 113–119, 1975Google Scholar
  15. 15.
    Judd ES, Greene EI: Choledochus cyst.Surg Gynecol Obstet 46: 317–324, 1928Google Scholar
  16. 16.
    Hoffer PB, Petasnick JP: Choledochal cysts demonstrated by oral cholecystography.Radiology 93: 871–872, 1969Google Scholar
  17. 17.
    Gilday DL, Brown R, MacPherson RT: Choledochal cyst, a case diagnosed by radiographic and ultrasonic collaboration.J Can Assoc Radiol 20: 25–29, 1969Google Scholar
  18. 18.
    Tada S, Yasukochi H, Shida H, Motegi F, Fukuda A: Choledochal cyst demonstrated by131I rose bengal scanning. Report of a case.Am J Roentgenol 116:587–589, 1972Google Scholar
  19. 19.
    Ferrucci JT Jr, Wittenberg J, Sarno RA, Dreyfuss JR: Fine needle transhepatic cholangiography: a new approach to obstructive jaundice.Am J Roentgenol 127: 403–407, 1976Google Scholar
  20. 20.
    Rabinowitz JG, Kinkhabwala MN, Rose JS: Rim sign in choledochal cyst: additional diagnostic feature.J Can Assoc Radiol 24: 226–230, 1973Google Scholar
  21. 21.
    Gillis DA, Sergeant CK: Prolonged biliary obstruction and massive gastrointestinal bleeding secondary to choledochal cyst.Surgery 52: 391–393, 1962Google Scholar
  22. 22.
    Eisen HB, Poller S, Maxwell JW Jr, Jackson FC: Hepatodochal diverticulum: a difficult roentgen diagnosis.Radiology 81: 276–278, 1963Google Scholar
  23. 23.
    Mall JC, Gharemani GG, Boyer JL: Caroli's disease associated with congenital hepatic fibrosis and renal tubular ectasia.Gastroenterology 66: 1029–1035, 1974Google Scholar

Copyright information

© Springer-Verlag 1977

Authors and Affiliations

  • Gary G. Ghahremani
    • 1
    • 2
  • Chien-Tai Lu
    • 1
    • 2
  • Ray M. Woodlief
    • 1
    • 2
  • Vincent P. Chuang
    • 1
    • 2
  1. 1.Department of RadiologyVirginia Commonwealth University-Medical College of Virginia HospitalsRichmondUSA
  2. 2.Department of RadiologyThe University of Chicago Pritzker School of MedicineChicagoUSA

Personalised recommendations