cyst, also known as biliary dilatation, is a common clinical biliary malformation disease and congenital abnormality in children.1,2 In recent years, the incidence of pediatric choledochal
cyst is on the rise.
Similarly, in our case series, we identified both invasions in our patient with the choledochal
MANEC, while the patient with the ampullary MANEC showed positivity only for lymphovascular invasion.
However, risk factors include: ulcerative colitis associated primary sclerosing cholangitis, choledochal
cysts, liver flukes (Clinorchis or Opisthorcis), Thorotrast, and familial syndromes (SBLA Syndrome and HNPCC).
Portal biliopathy occurs as a result of hypertension of the peribiliary (e.g., choledochal
) venous plexus, often in patients with portal vein thrombosis and ensuing portal cavernomas, and manifests radiographically or cholangiographically with multifocal biliary stenoses from tortuous venous structures encircling the bile duct.
In those who had to be converted, one patient had a prolonged operative interval (360 mins) because we performed Roux en Y hepaticojejunostomy for choledochal
The incidence of cancer on the choledochal
cyst increases with age and the average age for a cancer diagnosis is 32 years old .
Other cystic lesions like mesenteric, choledochal
cysts (intraperitoneal cysts), renal adrenal, or pancreatic pseudocysts (retroperitoneal cysts) are the differential diagnosis.
Bie, "Double common bile duct with choledochal
cyst and cholelithiasis: report of a case," Surgery Today, vol.
Despite the aforementioned modalities, many cases with the final diagnosis of primary hydatid cysts in the above-mentioned locations were operated with the impression of lymphangioma, choledochal
, pancreatic, ovarian, mesenteric, and duplication cysts.
Abnormal development includes micro- and macro-anatomical anomalies in the structure of the hepatobiliary system caused during the fetal or early neonatal period, for example: biliary atresia, Alagille's syndrome, congenital liver fibrosis, choledochal
Choledocholithiasis was verified and a large choledochal
cyst (approximately 5 cm in size) stretching throughout the entire duodenal bend behind the head of the pancreas was found.
cysts are congenital bile duct anomalies which result in sharp shooting colicky pain and jaundice in the child and require complete excision.