title: Choledochocele with obstructive jaundice: a case report and a review of the Japanese literature.
abstract: A case of a 57-year-old farmer with a rare type of choledochal cyst (choledochocele; Alonso-Lej's type III) is described. The patient was admitted because of obstructive jaundice and acute biliary infection. Abdominal computed tomography scan showed a cystic lesion in the head of the pancreas, and endoscopic retrograde cholangiopancreatography disclosed cystic dilatation of the terminal portion of the common bile duct. It was suspected that the choledochocele could swell and compress the common bile duct, causing obstructive jaundice and acute cholangitis; therefore, it was surgically resected. We also reviewed 61 cases of choledochocele reported in Japan; the findings were similar to those reported in the English literature.
authors.affiliation: Department of Medicine, Tsuchiura Kyodo Hospital, Ibaraki, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Yamaoka
authors.forename: J
authors.initials: J
authors.lastname: Tazawa
authors.forename: K
authors.initials: K
authors.lastname: Koizumi
authors.forename: Y
authors.initials: Y
authors.lastname: Asahina
authors.forename: K
authors.initials: K
authors.lastname: Tajiri
authors.forename: M
authors.initials: M
authors.lastname: Tsubaki
authors.forename: S
authors.initials: S
authors.lastname: Hiranuma
authors.forename: M
authors.initials: M
authors.lastname: Maeda
authors.forename: H
authors.initials: H
authors.lastname: Akabane
authors.forename: T
authors.initials: T
authors.lastname: Nouchi
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002761:Cholangitis / Q000209:etiology; D015529:Choledochal Cyst / Q000150:complications* / Q000601:surgery; D002779:Cholestasis / Q000209:etiology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged