DOI: https://dx.doi.org/10.18203/2320-6012.ijrms20221999
Published: 2022-07-27

Surgical treatment of type-II choledochal cyst: a case report

Karla I. Zarco Arreola, Aldo Olvera Casas, Luis J. Bueno Vázquez, Selene Y. Huitzil Palafox

Abstract


Choledochal cyst is a pathology conditioned by a complex congenital malformation that involves different degrees of dilation of both the common bile duct and the pancreatic duct with a malignant tendency, these are reported more frequently in children, representing 1% of benign diseases of the biliary. Babbitt 's theory is the most frequently proposed theory and states that CCs (choledochal cysts) result from an anomalous pancreatobiliary junction (APBJ) where the pancreatic duct and bile duct connect 1-2 cm proximal to the sphincter of Oddi. In adults, the presentation is usually nonspecific and vague, with abdominal pain being the most common symptom. Surgical resection of cysts can significantly decrease the risk of malignancy and reduce associated complications. However, less attention has been paid to CC in adults, and its surgical parameters have been reported to be frequently controversial. This manuscript describes the clinical case of a Todani II choledochal cyst managed with surgical resection by laparotomy with Roux-en-Y biliodigestive reconstruction, obtaining satisfactory results.


Keywords


Choledochal cyst, Roux-Y, Todani classification

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References


Molina FSM, Machado CRL, Palma SNC, Riveras CJA. Todani choledochal cyst type II: case report and review. Medwave. 2016;16 (9):e6583.

Bhavsar MS, Vora HB, Giriyappa VH. Choledochal cysts: a review of literature. Saudi J Gastroenterol. 2012;18(4):230-6.

Rasic I, Mahmutovic N, Custovic S, Hasic N, Gavrankapetanovic A, Beciragic E, et al. Challenges of Surgical Treatment of Atypical Giant Choledochal Cyst with the absence of Gallbladder in Adult Patient. Case Rep Surge. 2022;2022:9605612.

Issa R, Hatoum S, Yazbeck N, Naffaa L. A Congenital Choledochal Cyst in an Adolescent: A Unique Case Report and the Role Liver-Specific contrast Agents in the Diagnosis of Challenging Cases. Curus. 2022;14 (4):e24384.

Bhavsar MS, Vora HB, Giriyappa VH. Choledochal cysts: a review of literature. Saudi J Gastroenterol. 2012;18 (4):230-6.

Baison GN, Bonds MM, Helton WS, Kozarek RA. Choledochal cysts: Similarities and differences between Asian and Western countries. World J Gastroenterol. 2019;25(26):3334-43.

Machado NO, Chopra PJ, Al-Zadjali A, Younas S. Choledochal Cyst in Adults: Etiopathogenesis, Presentation, Management, and Outcome-Case Series and Review. Gastroenterol Res Pract. 2015;2015:602591.