Choledochal cysts: Diagnostic and therapeutic problems

Autor: Donald H. Klotz, Bertram D. Cohn, Peter K. Kottmeier
Rok vydání: 1973
Předmět:
Zdroj: Journal of Pediatric Surgery. 8:271-283
ISSN: 0022-3468
DOI: 10.1016/s0022-3468(73)80095-8
Popis: 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.
Databáze: OpenAIRE