Document Detail


Choledochal cyst with large stone cast and portal hypertension.
MedLine Citation:
PMID:  20007085     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Choledochal cysts in adults are more commonly associated with complications such as cystolithiasis, recurrent cholangitis, portal hypertension and malignancy, than in the pediatric age group. METHOD: We report a case of adult choledochal cyst with long-term complication of large stone cast and portal hypertension due to secondary biliary cirrhosis. RESULTS: A 50-year-old patient presented with obstructive jaundice and hepatosplenomegaly. On investigation, she was diagnosed as having a choledochal cyst with large stone cast and portal hypertension. Single stage resection of the choledochal cyst with Roux-en-Y hepaticojejunostomy was done by meticulous dissection and ligation of collaterals. CONCLUSION: Single stage resection of a choledochal cyst is possible in spite of associated portal hypertension, if the portal vein is patent.
Authors:
Shivendra Singh; Laxman Singh Kheria; Sunil Puri; Amrinder S Puri; Anil K Agarwal
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Hepatobiliary & pancreatic diseases international : HBPD INT     Volume:  8     ISSN:  1499-3872     ISO Abbreviation:  HBPD INT     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-12-16     Completed Date:  2010-03-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101151457     Medline TA:  Hepatobiliary Pancreat Dis Int     Country:  China    
Other Details:
Languages:  eng     Pagination:  647-9     Citation Subset:  IM    
Affiliation:
Department of Gastrointestinal Surgery, GB Pant Hospital & Maulana Azad Medical College, New Delhi, India.
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MeSH Terms
Descriptor/Qualifier:
Anastomosis, Roux-en-Y
Cholangiopancreatography, Magnetic Resonance
Choledochal Cyst / complications*,  diagnosis,  surgery
Female
Gallstones / etiology*,  surgery
Humans
Hypertension, Portal / etiology*,  surgery
Jejunostomy
Ligation
Liver Cirrhosis, Biliary / etiology*,  surgery
Middle Aged
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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