Document Detail

Rapid enlargement of a choledochal cyst: antenatal diagnosis and delayed primary excision.
MedLine Citation:
PMID:  9639632     Owner:  NLM     Status:  MEDLINE    
A case of choledochal cyst (CC) antenatally diagnosed at 29 weeks' gestation is reported. Rapid enlargement of the cyst soon after delivery resulted in complete gastric outlet obstruction (GOO). The lesion was treated by external drainage as a temporary maneuver, with delayed cyst excision and hepaticoduodenostomy at the hepatic hilum performed at 81 days of age. Surgical treatment of CC in early infancy has been reported to be safe and effective. However, delayed primary excision would be an alternative procedure, especially in rare cases showing rapid enlargement resulting in GOO, since this choice has the potential advantage of allowing weight gain and improved nutritional status without risking interim complications due to the drainage procedure.
Y Hamada; A Tanano; M Sato; Y Kato; K Hioki
Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Pediatric surgery international     Volume:  13     ISSN:  0179-0358     ISO Abbreviation:  Pediatr. Surg. Int.     Publication Date:  1998 Jul 
Date Detail:
Created Date:  1998-08-11     Completed Date:  1998-08-11     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8609169     Medline TA:  Pediatr Surg Int     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  419-21     Citation Subset:  IM    
Second Department of Surgery, Kansai Medical University, 10-15 Fumizono, Moriguchi, Osaka 570, Japan.
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MeSH Terms
Choledochal Cyst / pathology,  surgery*,  ultrasonography
Disease Progression
Fetal Diseases / pathology,  surgery*,  ultrasonography
Follow-Up Studies
Gestational Age
Infant, Newborn
Ultrasonography, Prenatal*

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