Résumé
Les auteurs rapportent deux cas de kyste du cholédoque, respectivement du type III et I selon la classification de Alonso Lej. Le premier patient était asymptomatique, tandis que le second fut hospitalisé pour des douleurs abdominales récurrentes. Dans les deux cas, le diagnostic a été posé par la cholangiographie rétrograde endoscopique (CPRE), ce qui a permis, une sphinctérotomie thérapeutique dans le cas du cholédococèle. Par contre, ľintervention du premier patient fut inefficace.
Summary
We report two cases of choledochal cysts, respectively type III and type I according to the classification of Alonso Lej. The first patient was asymptomatic, while the second was hospitalized for recurrent abdominal pain. In both cases, the definitive diagnosis was reached by endoscopic retrograde cholangiopancreatography, which in the case of choledococele provided the treatment by endoscopic sphincterotomy. The first patient underwent ineffective operation (cystenterostomy).
Resumen
Los autores informan dos casos de quiste de colédoco del tipo III y I respectivamente según la clasificación de Alonso Lej. El primer paciente estaba asintomático en tanto que el segundo fué hospitalizado por dolores abdominales recurrentes. En los dos casos, el diagnostico fué hecho por colangiografía y pancreatografía retrógada endoscópica (CPRE), lo que ha permitido una esfinterotomía terapéutica en el caso del coledoco-cele. Por el contrario, la intervención del primer caso fué ineficaz.
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Buscarini, E., Tansini, P., Grazia Mortilla, M. et al. Conduite clinique dans les kystes du cholédoque: à propos de deux observations. Acta Endosc 21, 493–498 (1991). https://doi.org/10.1007/BF02970325
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DOI: https://doi.org/10.1007/BF02970325