Choledochal Cysts

Chapter

Abstract

A choledochal cyst is an uncommon but correctable cause of biliary obstruction that, if left untreated, can cause recurrent episodes of cholangitis and biliary cirrhosis. In the long term, chronic inflammation within the biliary epithelium may result in the development of a cholangiocarcinoma. Operative intervention is therefore warranted in all patients with a choledochal cyst.

Keywords

Pancreatitis Bilirubin Triad Amylase Peritonitis 

Suggested Reading

  1. Todani T, Watanabe Y, Narusue M, Tabuchi K, Okajima K. Congenital bile duct cysts: classification, operative procedures, and review of thirty-seven cases including cancer arising from choledochal cyst. Am J Surg. 1977;134:263–9.CrossRefPubMedGoogle Scholar
  2. Iwai N, Yanagihara J, Kazuaki T, Shimotake T, Nakamura K. Congenital choledochal dilatation with emphasis on pathophysiology of biliary tract. Ann Surg. 1992;215(1):27–30.CrossRefPubMedGoogle Scholar
  3. Akira O, Hasegawa T, Oguchi Y, Nakamura T. Recent advances in pathophysiology and surgical treatment of congenital dilatation of the bile duct. J Hepatobiliary Pancreat Surg. 2002;9:342–51.CrossRefGoogle Scholar
  4. O’Neill JA, Templeton JM, Schnaufer L, Bishop HC, Ziegler MM, Ross III AJ. Recent experience with choledochal cyst. Ann Surg. 1987;205(5):533–40.CrossRefPubMedGoogle Scholar
  5. Stain SC, Guthrie CR, Yellin AE, Donovan AJ. Choledochal cyst in the adult. Ann Surg. 1995;222(2):128–33.CrossRefPubMedGoogle Scholar
  6. MacKenzie TC, Howell LJ, Flake AW, Adzick NS. The management of prenatally diagnosed choledochal cysts. J Pediatr Surg. 2001;36(8): 1241–3.CrossRefPubMedGoogle Scholar
  7. Okada T, Sasaki F, Ueki S, Hirokata G, Okuyama K, Cho K, et al. Postnatal management for prenatally diagnosed choledochal cysts. J Pediatr Surg. 2004;39(7):1055–8.CrossRefPubMedGoogle Scholar
  8. Jun YY, Chen HM, Chen MF. Malignancy in choledochal cysts. Hepatogastroenterology. 2002;49:100–3.Google Scholar
  9. Lee H, Hirose S, Bratton B, Farmer D. Initial experience with complex laparoscopic biliary surgery in children: Biliary atresia and choledochal cyst. J Pediatr Surg. 2004;39(6):804–7.CrossRefPubMedGoogle Scholar
  10. Coyle KA, Bradley III EL. Cholangiocarcinoma developing after ­simple excision of a type II choledochal cyst. South Med J. 1992;85(5):540–4.CrossRefPubMedGoogle Scholar
  11. Schimpl H, Sauer H, Goriupp U, Becker H. Choledochocele: importance of histological evaluation. J Pediatr Surg. 1993;28(12): 1562–5.CrossRefPubMedGoogle Scholar
  12. Todani T, Watanabe Y, Toki A, Urushihara N, Sato Y. Reoperation of congenital choledochal cyst. Ann Surg. 1988;207(2):142–7.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Department of Pediatric and Thoracic SurgeryCincinnati Children’s Hospital Medical CenterCincinnatiUSA

Personalised recommendations