| Choledochal cysts in adults. | |
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MedLine Citation:
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PMID: 9422865 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The clinical features and management of 14 adults with choledochal cysts who presented to our hospital are discussed. There were 10 Todani type I, and four type IV cysts. The cysts were fusiform in all but three cases. The pancreatobiliary junction was abnormal in only two patients. Ten patients had cystolithiasis. Six patients had undergone previous biliary surgery, three of whom presented with biliary strictures. We recommend that choledochal cyst be considered as a differential diagnosis in all patients with dilated bile ducts, especially when symptoms persist after biliary surgery. In two patients who had undergone endoscopic sphincterotomy and stone clearance, and in whom the diagnosis was still in doubt after cholangiography, hepatic iminodiacetic acid (HIDA) scan confirmed the diagnosis of choledochal cyst by showing persistent biliary stagnation despite free flow of bile across the sphincter of Oddi. Complete resection of the cyst was achieved in all cases with one postoperative death. A modification of the standard surgical technique is described which makes mobilisation of the cyst easier. The need to demonstrate the pancreatobiliary ductal confluence as an aid to complete excision of the cyst is emphasised. |
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Authors:
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S R Jesudason; S Govil; V Mathai; R Kuruvilla; J C Muthusami |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Annals of the Royal College of Surgeons of England Volume: 79 ISSN: 0035-8843 ISO Abbreviation: Ann R Coll Surg Engl Publication Date: 1997 Nov |
Date Detail:
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Created Date: 1998-01-12 Completed Date: 1998-01-12 Revised Date: 2009-11-18 |
Medline Journal Info:
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Nlm Unique ID: 7506860 Medline TA: Ann R Coll Surg Engl Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 410-3 Citation Subset: IM |
Affiliation:
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Department of General Surgery II, Christian Medical College Hospital, Vellore, India. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Cholangiopancreatography, Endoscopic Retrograde Choledochal Cyst / classification, diagnosis, surgery* Cholelithiasis / diagnosis Diagnosis, Differential Female Follow-Up Studies Gallbladder / radionuclide imaging Humans Ileum / radionuclide imaging Imino Acids / diagnostic use Magnetic Resonance Imaging Male Middle Aged Reoperation |
| Chemical | |
Reg. No./Substance:
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0/Imino Acids; 142-73-4/iminodiacetic acid |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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