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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2010, Number 4

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An Med Asoc Med Hosp ABC 2010; 55 (4)

Giant choledochal cysts in an adults

Hernández PRE, Ortiz PJ, Orozco P, Wellman R

Language: Spanish
References: 27
Page: 207-211
PDF size: 384.25 Kb.


ABSTRACT

Idiopathic cystic dilatation of the biliary tree (choledochal cysts) is a rare pathology that is present in 1 of every 100,000 newborns and is characterized by intra or extrahepatic dilatation of the biliary tree. Although etiology is not well known, there are 2 theories about its origin, congenital and acquired. They can present as pancreatitis, cholangitis or choledocholithiasis. Treatment consists of complete surgical resection because up to 20% can become malignant. Case report: 29 year old female patient with a history of 10 years of abdominal pain, early satiety, and abdominal growth. A giant choledochal cyst 35 cm in diameter was diagnosed and was later completely surgically removed. Conclusions: Choledochal cysts are an uncommon pathology. The treatment foundation is complete surgical removal of the cyst, including all the mucosa, to avoid a possible malignant transformation.


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