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Pediatric types I and VI choledochal cysts complicated with acute pancreatitis and spontaneous perforation: A case report and literature review

RATIONALE: Choledochal cysts are a congenital disorder of the common bile duct that can cause progressive biliary obstruction and biliary cirrhosis. They were classified by Todani into five types. Of these, type VI choledochal cysts are rarely reported in the literature. PATIENT CONCERNS: A 22-month...

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Autores principales: Tsai, Ching-Chung, Huang, Po-Kai, Liu, Hsien-Kuan, Su, Yu-Tsun, Yang, Ming-Chun, Yeh, Ming-Lun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5662399/
https://www.ncbi.nlm.nih.gov/pubmed/29049233
http://dx.doi.org/10.1097/MD.0000000000008306
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author Tsai, Ching-Chung
Huang, Po-Kai
Liu, Hsien-Kuan
Su, Yu-Tsun
Yang, Ming-Chun
Yeh, Ming-Lun
author_facet Tsai, Ching-Chung
Huang, Po-Kai
Liu, Hsien-Kuan
Su, Yu-Tsun
Yang, Ming-Chun
Yeh, Ming-Lun
author_sort Tsai, Ching-Chung
collection PubMed
description RATIONALE: Choledochal cysts are a congenital disorder of the common bile duct that can cause progressive biliary obstruction and biliary cirrhosis. They were classified by Todani into five types. Of these, type VI choledochal cysts are rarely reported in the literature. PATIENT CONCERNS: A 22-month-old girl presented with intermittent epigastralgia for approximately 10 days and fever for three days. Fasting and total parenteral nutrition were administered after admission. However, sudden onset of severe epigastric pain occurred. An abdominal sonogram showed turbid ascites and peritonitis was impressed. DIAGNOSES: An emergent exploratory laparotomy was performed, and perforation of the posterior wall of types I and VI choledochal cysts was observed. INTERVENTIONS: Intraoperative cholangiography revealed concomitant types I and VI choledochal cysts with stricture of the distal common bile duct. Definite surgery for resection of the choledochal cysts and gallbladder was performed with Roux-en-Y choledochojejunostomy. OUTCOMES: The patient had no evidence of ascending cholangitis at three years after the operation. LESSONS: Type VI choledochal cysts are rarely reported in the literature. To our knowledge, this is the first reported pediatric case of concomitant types I and VI choledochal cysts complicated with acute pancreatitis and spontaneous perforation.
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spelling pubmed-56623992017-11-21 Pediatric types I and VI choledochal cysts complicated with acute pancreatitis and spontaneous perforation: A case report and literature review Tsai, Ching-Chung Huang, Po-Kai Liu, Hsien-Kuan Su, Yu-Tsun Yang, Ming-Chun Yeh, Ming-Lun Medicine (Baltimore) 7100 RATIONALE: Choledochal cysts are a congenital disorder of the common bile duct that can cause progressive biliary obstruction and biliary cirrhosis. They were classified by Todani into five types. Of these, type VI choledochal cysts are rarely reported in the literature. PATIENT CONCERNS: A 22-month-old girl presented with intermittent epigastralgia for approximately 10 days and fever for three days. Fasting and total parenteral nutrition were administered after admission. However, sudden onset of severe epigastric pain occurred. An abdominal sonogram showed turbid ascites and peritonitis was impressed. DIAGNOSES: An emergent exploratory laparotomy was performed, and perforation of the posterior wall of types I and VI choledochal cysts was observed. INTERVENTIONS: Intraoperative cholangiography revealed concomitant types I and VI choledochal cysts with stricture of the distal common bile duct. Definite surgery for resection of the choledochal cysts and gallbladder was performed with Roux-en-Y choledochojejunostomy. OUTCOMES: The patient had no evidence of ascending cholangitis at three years after the operation. LESSONS: Type VI choledochal cysts are rarely reported in the literature. To our knowledge, this is the first reported pediatric case of concomitant types I and VI choledochal cysts complicated with acute pancreatitis and spontaneous perforation. Wolters Kluwer Health 2017-10-20 /pmc/articles/PMC5662399/ /pubmed/29049233 http://dx.doi.org/10.1097/MD.0000000000008306 Text en Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nd/4.0 This is an open access article distributed under the Creative Commons Attribution-NoDerivatives License 4.0, which allows for redistribution, commercial and non-commercial, as long as it is passed along unchanged and in whole, with credit to the author. http://creativecommons.org/licenses/by-nd/4.0
spellingShingle 7100
Tsai, Ching-Chung
Huang, Po-Kai
Liu, Hsien-Kuan
Su, Yu-Tsun
Yang, Ming-Chun
Yeh, Ming-Lun
Pediatric types I and VI choledochal cysts complicated with acute pancreatitis and spontaneous perforation: A case report and literature review
title Pediatric types I and VI choledochal cysts complicated with acute pancreatitis and spontaneous perforation: A case report and literature review
title_full Pediatric types I and VI choledochal cysts complicated with acute pancreatitis and spontaneous perforation: A case report and literature review
title_fullStr Pediatric types I and VI choledochal cysts complicated with acute pancreatitis and spontaneous perforation: A case report and literature review
title_full_unstemmed Pediatric types I and VI choledochal cysts complicated with acute pancreatitis and spontaneous perforation: A case report and literature review
title_short Pediatric types I and VI choledochal cysts complicated with acute pancreatitis and spontaneous perforation: A case report and literature review
title_sort pediatric types i and vi choledochal cysts complicated with acute pancreatitis and spontaneous perforation: a case report and literature review
topic 7100
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5662399/
https://www.ncbi.nlm.nih.gov/pubmed/29049233
http://dx.doi.org/10.1097/MD.0000000000008306
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