Choledochal cyst: their clinical presentation, diagnosis and treatment in central Nepal: a retrospective study

Background: Choledochal cyst is a rare congenital malformation involving the cystic dilatation of intrahepatic or extra-hepatic or both bile duct .The estimated incidence is one in 1000 live birth in Asian population with female to male ratio 3:1. Objectives: To study the clinical presentations, d...

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Autores principales:	Sujit Kumar, BN Patowary, Aditya Jalan
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2016
Materias:	Choledochal cyst ultrasonography roux-en-y hepaticojejunostomy Surgery RD1-811
Acceso en línea:	https://doaj.org/article/d895d0de344d40feaaa83cdc8b503c45
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spelling	oai:doaj.org-article:d895d0de344d40feaaa83cdc8b503c452021-12-05T19:16:39ZCholedochal cyst: their clinical presentation, diagnosis and treatment in central Nepal: a retrospective study10.3126/jssn.v18i3.152911815-39842392-4772https://doaj.org/article/d895d0de344d40feaaa83cdc8b503c452016-07-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/15291https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Background: Choledochal cyst is a rare congenital malformation involving the cystic dilatation of intrahepatic or extra-hepatic or both bile duct .The estimated incidence is one in 1000 live birth in Asian population with female to male ratio 3:1. Objectives: To study the clinical presentations, diagnostic modalities, treatment and outcome of choledochal cyst in College of Medical Sciences, Bharatpur, Nepal Methods: A retrospective review of the records of all the patients who were diagnosed as choledochal cyst and underwent medical or operative intervention in our hospital in the period of January 2013- January 2015. Results: We have analyzed ten cases of choledochal cyst. We found most common age group of presentation of choledochal cyst was 6-10 yr with female preponderance (70%). Most common presenting symptom was pain abdomen (100%) followed by jaundice (50%). However classical triad of abdominal pain, jaundice, and an abdominal mass was not seen in any of the cases. Ultrasonography was found to be 100 % accurate in diagnosis of choledochal cyst. Todani type I cyst was the most common type. Nine out of ten cases underwent complete cyst excision with cholecystectomy and Roux-en-Y hepaticojejunostomy without any major complication. Malignancy was not seen in any patients. Conclusion: Choledochal cyst is a rare disease. Most common age group of presentation is 6-10 yrs. Pain abdomen is the most common clinical presentation. Ultrasonography is usually the first examination and is very sensitive for diagnosis of choledochal cyst. Complete cyst excision, cholecystectomy and internal drainage is the treatment of choice. Sujit KumarBN PatowaryAditya JalanSociety of Surgeons of NepalarticleCholedochal cystultrasonographyroux-en-y hepaticojejunostomySurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 18, Iss 3 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Choledochal cyst ultrasonography roux-en-y hepaticojejunostomy Surgery RD1-811
spellingShingle	Choledochal cyst ultrasonography roux-en-y hepaticojejunostomy Surgery RD1-811 Sujit Kumar BN Patowary Aditya Jalan Choledochal cyst: their clinical presentation, diagnosis and treatment in central Nepal: a retrospective study
description	Background: Choledochal cyst is a rare congenital malformation involving the cystic dilatation of intrahepatic or extra-hepatic or both bile duct .The estimated incidence is one in 1000 live birth in Asian population with female to male ratio 3:1. Objectives: To study the clinical presentations, diagnostic modalities, treatment and outcome of choledochal cyst in College of Medical Sciences, Bharatpur, Nepal Methods: A retrospective review of the records of all the patients who were diagnosed as choledochal cyst and underwent medical or operative intervention in our hospital in the period of January 2013- January 2015. Results: We have analyzed ten cases of choledochal cyst. We found most common age group of presentation of choledochal cyst was 6-10 yr with female preponderance (70%). Most common presenting symptom was pain abdomen (100%) followed by jaundice (50%). However classical triad of abdominal pain, jaundice, and an abdominal mass was not seen in any of the cases. Ultrasonography was found to be 100 % accurate in diagnosis of choledochal cyst. Todani type I cyst was the most common type. Nine out of ten cases underwent complete cyst excision with cholecystectomy and Roux-en-Y hepaticojejunostomy without any major complication. Malignancy was not seen in any patients. Conclusion: Choledochal cyst is a rare disease. Most common age group of presentation is 6-10 yrs. Pain abdomen is the most common clinical presentation. Ultrasonography is usually the first examination and is very sensitive for diagnosis of choledochal cyst. Complete cyst excision, cholecystectomy and internal drainage is the treatment of choice.
format	article
author	Sujit Kumar BN Patowary Aditya Jalan
author_facet	Sujit Kumar BN Patowary Aditya Jalan
author_sort	Sujit Kumar
title	Choledochal cyst: their clinical presentation, diagnosis and treatment in central Nepal: a retrospective study
title_short	Choledochal cyst: their clinical presentation, diagnosis and treatment in central Nepal: a retrospective study
title_full	Choledochal cyst: their clinical presentation, diagnosis and treatment in central Nepal: a retrospective study
title_fullStr	Choledochal cyst: their clinical presentation, diagnosis and treatment in central Nepal: a retrospective study
title_full_unstemmed	Choledochal cyst: their clinical presentation, diagnosis and treatment in central Nepal: a retrospective study
title_sort	choledochal cyst: their clinical presentation, diagnosis and treatment in central nepal: a retrospective study
publisher	Society of Surgeons of Nepal
publishDate	2016
url	https://doaj.org/article/d895d0de344d40feaaa83cdc8b503c45
work_keys_str_mv	AT sujitkumar choledochalcysttheirclinicalpresentationdiagnosisandtreatmentincentralnepalaretrospectivestudy AT bnpatowary choledochalcysttheirclinicalpresentationdiagnosisandtreatmentincentralnepalaretrospectivestudy AT adityajalan choledochalcysttheirclinicalpresentationdiagnosisandtreatmentincentralnepalaretrospectivestudy
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Choledochal cyst: their clinical presentation, diagnosis and treatment in central Nepal: a retrospective study

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