Open surgical treatment of choledochocele: A case report and review of literature  

作　　者：Jie Yang Guang-Fa Xiao Yi-Xiong Li Jie Yang;Guang-Fa Xiao;Yi-Xiong Li(Department of Biliopancreatic Surgery, Xiangya Hospital, Central South University)

机构地区：[1]Department of Biliopancreatic Surgery, Xiangya Hospital, Central South University

出　　处：《World Journal of Clinical Cases》2018年第14期842-846,共5页世界临床病例杂志

摘　　要：Choledochocele （also known as type？Ⅲ？ choledochal cyst according to Todani’s classifcation） is a cystic dilation of the distal segment of the common bile duct protru-ding into the duodenal lumen. Cases are rare and the etiology remains unclear. It is usually misdiagnosed as peptic ulcer, as in the patient whose case is described here. Multislice spiral computed tomography and magnetic resonance cholangiopancreatography may be comparable to endoscopic retrograde cholangiogra-phy for diagnosis of choledochocele. Both endoscopic therapy and open surgical management are safe options, and size of the cyst plays a role in the decision-making for which approach to apply. A 50-year-old woman admitted to our hospital with upper abdominal pain caused by choledochocele with large size was successfully treated by open surgical management. We present the details of her case in this case report and discuss the recent literature on such cases and their therapeutic management.Choledochocele(also known as type?Ⅲ?choledochal cyst according to Todani's classification) is a cystic dilation of the distal segment of the common bile duct protru-ding into the duodenal lumen. Cases are rare and the etiology remains unclear. It is usually misdiagnosed as peptic ulcer, as in the patient whose case is described here. Multislice spiral computed tomography and magnetic resonance cholangiopancreatography may be comparable to endoscopic retrograde cholangiogra-phy for diagnosis of choledochocele. Both endoscopic therapy and open surgical management are safe options, and size of the cyst plays a role in the decision-making for which approach to apply. A 50-year-old woman admitted to our hospital with upper abdominal pain caused by choledochocele with large size was successfully treated by open surgical management. We present the details of her case in this case report and discuss the recent literature on such cases and their therapeutic management.

关 键 词：Choledochal cyst Endoscopic retrograde cholangiopancreatography CHOLEDOCHOCELE Operative surgical procedure Case report 

分 类 号：R735.8[医药卫生—肿瘤]