Choledochocele: changing trends in diagnosis and management.
Eighty-four patients with choledochocele collected from the world literature and one personal observation are reviewed. The main issues regarding clinical presentation, diagnostic work-up, and the treatment of this uncommon lesion are discussed. Abdominal pain was the most common clinical feature (91% of cases), followed by pancreatitis (38%), nausea or vomiting (35%), and jaundice (26%). In addition, associated lithiasis was found in 43% of the cases. Endoscopic retrograde cholangiopancreatography was the most useful diagnostic procedure and resulted in a correct diagnosis in all but one of the patients investigated by this method. Surgical excision of the duodenal luminal portion of the choledochocele was the treatment most commonly used (65% of cases). In recent years, operative endoscopy has also been increasingly used, with good results.
Masetti
R
R
Department of Surgery, Catholic University of Rome, Policlinico Universitario A. Gemelli, Italy.
Antinori
A
A
Coppola
R
R
Coco
C
C
Mattana
C
C
Crucitti
A
A
La Greca
A
A
Fadda
G
G
Magistrelli
P
P
Picciocchi
A
A
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D015529:Choledochal Cyst / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D003135:Common Bile Duct / Q000473:pathology / Q000601:surgery; D003952:Diagnostic Imaging; D004724:Endoscopy; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged