[An exceptional and misleading case of choledochal cyst].
The authors report a case of choledocal cyst extended to left and right hepatic ducts. An heterogeneous intracystic fluid, partial calcification of cystic wall, a slight positivity of echinoccosis serology in a patient from a highly endemic country erroneously led to diagnosis of hydatid cyst invading the left hepatic duct. The diagnosis of choledocal cyst was done on the resection specimen after left hepatectomy. A small patch of cyst wall with terminations of both right sectorial hepatic ducts was used for cysto-jejunal Roux-en-Y loop anastomosis. Peculiarities of this type of choledocal cyst are discussed.
Carloni
Alessio
A
Service de Chirurgie Générale et Viscérale, Hôpital Antoine Béclère, 157, Rue de la Porte de Trivaux, 92141 Clamart Cedex BP 405 - Université Paris Sud. alessio.carloni@abc.aphp.fr
Dagher
Ibrahim
I
Beuzen
Fabienne
F
Dumas-De La Roque
Anne
A
Franco
Dominique
D
D000328:Adult; D000713:Anastomosis, Roux-en-Y; D015529:Choledochal Cyst / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D003937:Diagnosis, Differential; D004443:Echinococcosis / Q000175:diagnosis / Q000601:surgery; D005260:Female; D006801:Humans