Choledochal cyst with large stone cast and portal hypertension

被引：0

作者：

Singh, Shivendra ^{[1
]}

Kheria, Laxman Singh ^{[1
]}

Puri, Sunil ^{[2
]}

Puri, Amrinder S. ^{[3
]}

Agarwal, Anil K. ^{[1
]}

机构：

[1] GB Pant Hosp, Dept Gastrointestinal Surg, New Delhi 110002, India

[2] GB Pant Hosp, Dept Radiodiag, New Delhi 110002, India

[3] GB Pant Hosp, Dept Gastroenterol, New Delhi 110002, India

来源：

HEPATOBILIARY & PANCREATIC DISEASES INTERNATIONAL | 2009年 / 8卷 / 06期

关键词：

choledochal cyst; cystolithiasis; portal hypertension; BILE-DUCT; ADULTS; MANAGEMENT;

D O I：

暂无

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

BACKGROUND: Choledochal cysts in adults are more commonly associated with complications such as cystolithiasis, recurrent cholangitis, portal hypertension and malignancy, than in the pediatric age group. METHOD: We report a case of adult choledochal cyst with long-term complication of large stone cast and portal hypertension due to secondary biliary cirrhosis. RESULTS: A 50-year-old patient presented with obstructive jaundice and hepatosplenomegaly. On investigation, she was diagnosed as having a choledochal cyst with large stone cast and portal hypertension. Single stage resection of the choledochal cyst with Roux-en-Y hepaticojejunostomy was done by meticulous dissection and ligation of collaterals. CONCLUSION: Single stage resection of a choledochal cyst is possible in spite of associated portal hypertension, if the portal vein is patent.

引用

页码：647 / 649

页数：3

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