title: [Choledochal cyst as a complex malformation of the intra and extrahepatic bile ducts].
abstract: The authors present the case of a 64 years woman with a choledochal cyst along with a complex malformation of both intra and extrahepatic bile ducts. The patient was admitted with a diagnosis of acute and underestimated cholecystitis, which was in fact a real acute severe suppurated angiocolitis located at the cystic cavity level along with severe hepato-renal failure. As long as the choledochal cyst evolves as a stand-alone entity, it can frequently be associated with other malformations of the bile ducts--such as choledochal duct stenosis or abnormal connection of the common hepatic duct with pancreatic ducts. The main dilatation was engulfing the whole common bile duct with a fusiform aspect, and the cranial end is opening into a long hepatic duct from which were emerging several biliary segments branches, for both hepatic lobes. This aspect of a multistage convergence with four branches which is opening into a long hepatic bile duct and then in the choledochal cyst, represents an unusual malformation which does not respect the rules described by former published authors.
authors.affiliation: Clinica de Chirurgie, Spitalul Universitar CF Witting, Facultatea de Medicina, Universitatea "Titu Maiorescu", Bucureşti.
authors.forename: F D
authors.initials: FD
authors.lastname: Ungureanu
authors.forename: M
authors.initials: M
authors.lastname: Ioachimescu
authors.forename: L
authors.initials: L
authors.lastname: Ungurianu
authors.forename: M
authors.initials: M
authors.lastname: Pricop
authors.forename: G
authors.initials: G
authors.lastname: Mircea
authors.forename: D
authors.initials: D
authors.lastname: Dragoescu
authors.forename: A C
authors.initials: AC
authors.lastname: Moldovan
mesh_terms: D017734:Bile Ducts, Extrahepatic / Q000002:abnormalities* / Q000601:surgery; D001653:Bile Ducts, Intrahepatic / Q000002:abnormalities* / Q000601:surgery; D002758:Cholangiography; D015529:Choledochal Cyst / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D004322:Drainage; D005260:Female; D006498:Hepatectomy; D006801:Humans; D007582:Jejunostomy; D008875:Middle Aged; D012086:Reoperation; D016896:Treatment Outcome