title: Carcinoma arising in previously partially excised congenital choledochal dilatation. Case report and review of literature.
abstract: A 20-year-old man with congenital choledochal dilatation associated with carcinoma was treated. At the age of 10 years he underwent a cholecystectomy and partial resection of the cyst. At admission the patient complained of hypochondriac and back pain combined with bilious vomiting. He underwent a palliative operation. A review of the literature is presented on treatment and prognosis of patients with carcinoma arising in choledochal congenital dilatation previously treated by surgery other than excision. It is emphasized that the cystic dilatation should be removed at the time of the first operation. Furthermore, in patients who underwent surgical treatment without excision of the choledochal dilatation, the dilated biliary tract should be removed even in absence of subjective symptoms.
authors: Cattedra di I Clinica Chirurgica, Università La Sapienza, Roma.
authors: S
authors: S
authors: Valabrega
authors: P
authors: P
authors: Barillari
authors: R
authors: R
authors: De Angelis
authors: N
authors: N
authors: Di Lorenzo
authors: P
authors: P
authors: Gozzo
authors: G
authors: G
authors: Ramacciato
authors: M
authors: M
authors: Indinnimeo
mesh_terms: D000328:Adult; D002277:Carcinoma / Q000601:surgery; D003137:Common Bile Duct Diseases / Q000151:congenital* / Q000601:surgery; D003138:Common Bile Duct Neoplasms / Q000601:surgery; D003560:Cysts / Q000151:congenital* / Q000601:surgery; D006801:Humans; D008297:Male; D012086:Reoperation