[Congenital cysts of the choledochus].
We describe six cases of congenital choledochal cyst of the Toddani type I. All were female, with a mean age of 33.5 years (16-52). The onset of symptoms ranged 8-192 months (mean 92.8), with an unexpected finding. Ultrasound scan was performed in five patients, with two accurate diagnoses, one suspicious and two wrong results. In two cases a C.T. was performed and the diagnosis was confirmed in both. A cholelithiasis was associated in four cases. Four patients (66.4%) were treated by cyst excision, Roux-en-Y hepaticojejunostomy and cholecystectomy, three of them as a primary procedure, and one more after failure of some derivative operations. All evolved well but one, requiring sphincterotomy and Wirsungtomy. Two patients (33.6%) were treated by cholecystectomy only, with a favourable evolution. Nevertheless, we emphasize the good results achieved with cyst excision and we recommend it as the procedure of choice.
Naranjo Gómez
A
A
Servicio de Cirugía General y del Aparato Digestivo, Facultad de Medicina, Universidad de Cantabria, Hospital Universitario Marqués de Valdecilla, Santander.
Manuel Palazuelos
J C
JC
Casado Martín
F
F
Hernánz de la Fuente
F
F
Bárcena Barros
J M
JM
García de Polavieja
M
M
Rodríguez Sanjuán
J C
JC
D000293:Adolescent; D000328:Adult; D002763:Cholecystectomy; D015529:Choledochal Cyst / Q000145:classification / Q000175:diagnosis* / Q000601:surgery; D002768:Choledochostomy; D002769:Cholelithiasis / Q000175:diagnosis / Q000601:surgery; D005260:Female; D042882:Gallstones / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D008875:Middle Aged