Document Detail


Choledochal cyst diagnosed and conservatively treated during pregnancy.
MedLine Citation:
PMID:  15580542     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report herein a rare case of choledochal cyst diagnosed at 14 weeks gestation and treated with percutaneous transhepatic drainage until postpartum. A 26-year-old primigravid woman at 14 weeks gestation presented with epigastric pain, slight fever, and nausea of 3 days duration. Abdominal ultrasonography revealed a 6-cm-diameter cystic mass between the porta hepatis and the pancreas head, which was diagnosed as a type I choledochal cyst. At 18 weeks of gestation, her upper abdominal pain became severe, and the size of the choledochal cyst increased to 12 cm in diameter. Laboratory data revealed a biliary obstruction. Percutaneous transhepatic drainage was performed immediately. She delivered a healthy male baby by elective cesarean section at 37 weeks of gestation. At 6 weeks postpartum, the patient underwent surgical excision of the choledochal cyst, cholecystectomy, and formation of a Roux-en-Y hepaticojejunostomy. Although choledochal cysts are rare during pregnancy, obstetricians should be familiar with the condition to ensure prompt diagnosis and adequate definitive management, given that the implications of missed or delayed diagnosis may be detrimental to both mother and fetus.
Authors:
Kaei Nasu; Shunji Matsuki; Yasushi Kawano; Isao Miyakawa; Kimihiro Nakashima; Hideaki Anai
Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  American journal of perinatology     Volume:  21     ISSN:  0735-1631     ISO Abbreviation:  Am J Perinatol     Publication Date:  2004 Nov 
Date Detail:
Created Date:  2004-12-06     Completed Date:  2005-03-03     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8405212     Medline TA:  Am J Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  463-8     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Oita National Hospital, Oita, Japan.
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MeSH Terms
Descriptor/Qualifier:
Abdominal Pain / etiology
Adult
Anastomosis, Roux-en-Y
Choledochal Cyst / complications,  diagnosis*,  pathology,  surgery,  ultrasonography
Diagnosis, Differential
Drainage
Female
Gravidity
Humans
Infant, Newborn
Male
Pancreatic Diseases / complications,  diagnosis*,  pathology,  surgery,  ultrasonography
Postpartum Period
Pregnancy
Pregnancy Complications / diagnosis*,  pathology,  surgery,  ultrasonography
Pregnancy Trimester, First
Ultrasonography, Prenatal*

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