A hepaticojejunostomy: technical errors with 'twists and turns'.
Excision of a choledochal cyst followed by biliary reconstruction with a Roux-en-Y hepaticojejunostomy is the treatment of choice for type I and IV choledochal cysts. We present a rare complication which was identified 8 years after the original reconstructive surgery. Conventional imaging modalities failed to identify the pathology. Only a contrast enhanced CT scan supported by image rendering software allowed for the visualization of the underlying chronic obstruction of part of the mesentery.
Houben
C H
CH
Division of Paediatric Surgery & Urology, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, 4/F Clinical Science Building, Shatin, N. T., Hong Kong SAR, China. chhouben@web.de
Chan
M
M
Cheung
G
G
Lee
K H
KH
Tam
P
P
Yeung
C K
CK
D000713:Anastomosis, Roux-en-Y; D002648:Child; D015529:Choledochal Cyst / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010193:Pancreaticojejunostomy / Q000379:methods*; D011183:Postoperative Complications / Q000601:surgery; D012086:Reoperation; D014057:Tomography, X-Ray Computed; D018608:Ultrasonography, Doppler