1. Choledochal cysts: Diagnostic and therapeutic problems
- Author
-
Donald H. Klotz, Bertram D. Cohn, and Peter K. Kottmeier
- Subjects
Adult ,Male ,medicine.medical_specialty ,Biliary Cyst ,Radiography ,medicine ,Humans ,Choledochal cysts ,Cyst ,In patient ,Child ,Common Bile Duct ,Hepatitis ,Polycystic Kidney Diseases ,Cholestasis ,Cysts ,business.industry ,Infant, Newborn ,General Medicine ,medicine.disease ,Abdominal mass ,Nonoperative treatment ,Surgery ,Bile Ducts, Intrahepatic ,Child, Preschool ,Pediatrics, Perinatology and Child Health ,Female ,Duodenal Obstruction ,Radiology ,medicine.symptom ,business ,Cholangiography - Abstract
Summary A review of eight patients with congenital biliary cysts showed that the correct diagnosis was only anticipated in two, that several patients underwent prolonged nonoperative treatment because of a mistaken diagnosis of hepatitis, and that even in patients with an abdominal mass the true character of the cyst was not suspected until a detailed radiographic work-up was completed. In contrast to previous publications, a review of our own cases and 138 cases reported during the last 4 yr indicates that choledochal cysts represent only one of various biliary cystic dilations that can occur in either an isolated or a multiple form. A review of operative procedures performed during the last decade reveals that excision and duct-enterostomy carry a mortality risk no higher than cyst-enterostomies, with fewer postoperative complications in a still-limited follow-up period.
- Published
- 1973