title: Pancreatitis complicated with dilated choledochal remnant after congenital choledochal cyst excision.
abstract: We describe here three cases of pancreatitis after congenital choledochal cyst excision. In these three cases, the choledochal remnant in the pancreas head was markedly dilated, probably because of an incomplete resection of the cyst at the primary operation, and an increase in intraluminal pressure of the pancreatic duct caused by a dynamic obstruction by a protein plug or a pancreatic calculus. Complete cyst excision, including the choledochal wall in the pancreas, is therefore strongly recommended.
authors.affiliation: Division of Pediatric Surgery, Department of Surgery, Nihon University School of Medicine, 30-1 Ooyaguchi-kamimachi Itabashi-ku, 173-8610, Tokyo, Japan. tkoshina@med.nihon-u.ac.jp
authors.forename: Tsugumichi
authors.initials: T
authors.lastname: Koshinaga
authors.forename: Mayumi
authors.initials: M
authors.lastname: Hoshino
authors.forename: Mikiya
authors.initials: M
authors.lastname: Inoue
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Gotoh
authors.forename: Kiminobu
authors.initials: K
authors.lastname: Sugito
authors.forename: Tarou
authors.initials: T
authors.lastname: Ikeda
authors.forename: Noritsugu
authors.initials: N
authors.lastname: Hagiwara
authors.forename: Ryouichi
authors.initials: R
authors.lastname: Tomita
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000293:Adolescent; D000328:Adult; D015529:Choledochal Cyst / Q000473:pathology* / Q000601:surgery; D004108:Dilatation, Pathologic; D005260:Female; D006801:Humans; D010179:Pancreas / Q000000981:diagnostic imaging; D010195:Pancreatitis / Q000209:etiology*; D014057:Tomography, X-Ray Computed