RADIOLOGICAL MANIFESTATIONS OF CHOLEDOCHAL CYSTS: A PICTORIAL REVIEW

Kumail Khandwala, Nida Sajjad, Shaista Afzal

Abstract


Choledochal cysts are congenital or acquired disproportionate dilatations of any portion of the bile ducts, more commonly found to occur in the extrahepatic bile ducts. The incidence of choledochal cysts is rare, estimated to lie between 1 in 100,000 or 150,000 people in Western countries. However, the incidence is reported to be higher in Asian population. They are found to occur more frequently in females with a 4:1 female to male preponderance. Although most cases are usually diagnosed in infancy and childhood, up to 25% of cases are diagnosed in adulthood. In this pictorial review, we present cases from our institute that have been diagnosed and classified according to the Todani’s classification.


Full Text:

PDF

References


Wiseman K, Buczkowski AK, Chung SW, Francoeur J, Schaeffer D, Scudamore CH. Epidemiology, presentation, diagnosis, and outcomes of choledochal cysts in adults in an urban environment. Am J Surg. 2005;189:527–531.

Liu CL, Fan ST, Lo CM, Lam CM, Poon RT, Wang J. Choledochal cysts in adults. Arch Surg. 2002;137:465–468.

Visser BC, Suh I, Way LW, Kang SM. Congenital choledochal cysts in adults. Arch Surg. 2004;139:855–862.

Liu YB, Wang JW, Devkota KR, Ji ZL, Li JT, Wang XA, et al. Congenital choleochal cysts in adults: twenty-five-year experience. Chin Med J. 2007;120:1404–1407.

Huang SP, Wang HP, Chen JH, et al. EUS and peroral cholangioscopy in choledochocele with choledocholithiasis. Gastrointest Endosc. 1999;50:568–71.

Arshanskiy Y, Vyas PK, Type IV. Choledochal cyst presenting with obstructive jaundice: role of MR cholangiopancreatography in preoperative evaluation. AJR Am J Roentgenol. 1998;171:457–8.

Park DH, Kim MH, Lee SK, Lee SS, Choi JS, Lee YS, et al. Can MRCP replace the diagnostic role of ERCP for patients with choledochal cysts? GastrointestEndosc. 2005;62:360–366.

Komi N, Takehara H, Kunitomo K, Miyoshi Y, Yagi T. Does the type of anomalous arrangement of pancreaticobiliary ducts influence the surgery and prognosis of choledochal cyst? J Pediat Surg. 1992;27:728–731.

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. 1997;134:263–269.

Todani T, Watanabe Y, Toki A, Morotomi Y. Classification of congenital biliary cystic disease: special reference to type Ic and IVA cysts with primary ductal stricture. J HepatobiliaryPancreat Surg. 2003;10:340–344.

Fieber SS, Nance FC. Choledochal cyst and neoplasm: a comprehensive review of 106 cases and presentation of two original cases. Am Surg. 1997;63:982–987.

Elnemr A, Ohta T, Kayahara M, Kitagawa H, Yoshimoto K, Tani T, et al. Anomalous pancreaticobiliary ductal junction without bile duct dilatation in gallbladder cancer. Hepatogastroenterology. 2001;48:382–386.

Metcalfe MS, Wemyss-Holden SA, Maddern GJ. Management dilemmas with choledochal cysts. Arch Surg. 2003;138:333–339.


Refbacks

  • There are currently no refbacks.


© Copyright PJR 2008-