AnatomyDiseasesChemicals and DrugsAnalytical, Diagnostic and Therapeutic Techniques and EquipmentInformation Science
Choledochal CystJejunostomyCystsCommon Bile Duct DiseasesCholangiopancreatography, Magnetic ResonanceAnastomosis, Roux-en-YCommon Bile DuctHepatic Duct, CommonBiliary Tract Surgical ProceduresDuodenostomyCholangiographyCholangiopancreatography, Endoscopic RetrogradeImino AcidsBile Ducts, ExtrahepaticBiliary AtresiaDilatation, PathologicAdenomyomaPancreatic DuctsCyst FluidBiliary Tract DiseasesBiliary TractPancreatic DiseasesLymphangitisTechnetium Tc 99m DisofeninBiliary FistulaBile DuctsGallbladderPortoenterostomy, HepaticOvarian CystsEnterostomyCommon Bile Duct NeoplasmsBile Duct NeoplasmsEpidermal CystPancreatitis, ChronicPancreaticojejunostomyPancreatic JuiceRupture, SpontaneousBiliary Tract NeoplasmsPancreatitisDrainageEncyclopedias as TopicUrinary DiversionUrinary Reservoirs, ContinentCystectomyUrinary Bladder NeoplasmsCarcinoma, Transitional CellMuscle NeoplasmsUrinary Bladder
Excision of the cystObstructionCommon bileCysticTypes of choledochal cystsReconstruction of the biliary treeGallbladderDilatation of the bileChildren with choledochalPrenatallyCholangitisLesionsGallstonesHydatid cystSymptomsCholecystectomyRetrospective studyType of cystPremalignantExtrahepaticLiver cystFetalJaundiceLaparoscopicRare congenitalDiverticulumDifferentialUltrasonographyAnomaliesTodaniPatients with Caroli diseaseMalignantPrenatalSurgeryPediatricsTreatmentsHepatobiliaryClassificationDuodenalChronicUltrasoundClinicalDucts
Excision of the cyst3
  • The best way to treat choledochal cyst is complete excision of the cyst. (sgh.com.sg)
  • Choledochal cysts are treated by surgical excision of the cyst with the formation of a roux-en-Y anastomosis hepaticojejunostomy/ choledochojejunostomy to the biliary duct. (wikipedia.org)
  • At the 15 postnatal day, a surgical excision of the cyst and reconstruction of the biliary tree with a Roux-en-Y anastomosis was performed. (devdrawer.com)
Obstruction3
  • Choledochal cysts can lead to obstruction in bile flow. (sgh.com.sg)
  • citation needed] In infants, choledochal cysts usually lead to obstruction of the bile ducts and retention of bile. (wikipedia.org)
  • A choledochal cyst (CC) is an infrequent congenital cystic dilatation of the intrahepatic and or extrahepatic biliary ductal system that can cause biliary obstruction and cirrhosis. (org.pk)
Common bile3
Cystic7
  • Choledochal cysts are abnormal cystic dilatation of the bile duct. (sgh.com.sg)
  • Choledochal cysts (a.k.a. bile duct cyst) are congenital conditions involving cystic dilatation of bile ducts. (wikipedia.org)
  • Type VI: An isolated cyst of the cystic duct is an extremely rare lesion. (wikipedia.org)
  • Demonstration of the continuity of the cystic lesions with the bile ducts is paramount in diagnosis. (medscape.com)
  • A cystic dilation of the biliary tree is consistent with the diagnosis of choledochal cyst. (iswantosucandyliversurgery.com)
  • Biliary cytadenoma or mucinous cystic neoplasm of the liver is an uncommon premalignant cystic lesion, which accounts for less than 5% of all intrahepatic biliary cysts and occurs primarily in middle aged women with a peak incidence in the 50s. (drpapoulas.com)
  • Nineteen cases were excluded due to a modified diagnosis confirmed by intraoperative laparoscopy and cholangiography, with 15 cases of cystic biliary atresia, 1 case of omental cyst, 1 case of ovarian cyst, 1 case of intestinal duplication cyst and 1 case of duodenal atresia. (biomedcentral.com)
Types of choledochal cysts2
  • Although often classified as Type III biliary cysts, choledochoceles have distinctive demographic and anatomic features and a lower risk of malignancy than other types of choledochal cysts. (elsevierpure.com)
  • There are 5 types of choledochal cysts, based on the location of cyst within the biliary tree . (iswantosucandyliversurgery.com)
Reconstruction of the biliary tree1
Gallbladder11
  • Gallbladder cancer does not usually cause signs or symptoms until later in the course of the disease, but sometimes symptoms can appear sooner and lead to an early diagnosis. (rxwiki.com)
  • Other gallbladder conditions that can increase the risk of gallbladder cancer include porcelain gallbladder, choledochal cyst, and chronic gallbladder infection. (rxwiki.com)
  • Once your doctor diagnoses your gallbladder cancer, he or she works to find the extent (stage) of your cancer. (rxwiki.com)
  • If we find that your child has a hepatobiliary disorder, we often treat it by removing the cyst or gallbladder. (mountsinai.org)
  • For a bile duct cyst, we typically need to remove the gallbladder and bile duct and then reconstruct the biliary system with intestine. (mountsinai.org)
  • Axial views at 34 weeks that suggest the communication between the cyst in the right upper quadrant and the gallbladder. (devdrawer.com)
  • Diagnosis and Management of Gallbladder Cancer. (booksca.ca)
  • Familial risk describes when at least two family members receive a gallbladder cancer diagnosis. (medicalnewstoday.com)
  • A person is approximately 2.7 times more likely to develop gallbladder cancer if someone else in their family has received a diagnosis when compared to someone who does not have a family member with the condition. (medicalnewstoday.com)
  • However, as many as 4 out of 5 adults in the United States with gallbladder cancer also have gallstones at the time of diagnosis. (medicalnewstoday.com)
  • However, the average age a person in the U.S. receives a gallbladder cancer diagnosis is at 72 years old , and most people receive a diagnosis at 65 years or older. (medicalnewstoday.com)
Dilatation of the bile1
Children with choledochal1
  • This retrospective study included 6 children with choledochal cyst who underwent initial US-guided percutaneous external drainage and subsequent cyst excision with Roux-en-Y hepaticojejunostomy between January 2021 and September 2022. (biomedcentral.com)
Prenatally3
  • citation needed] Currently, there is no accepted indication for fetal intervention in the management of prenatally suspected choledochal cysts. (wikipedia.org)
  • Diagnosis of duodenal atresia is suspected prenatally if there is polyhydramnios and/or a dilated stomach. (msdmanuals.com)
  • This study aimed to screen the impact factors for clinical symptoms of prenatally diagnosed choledochal cysts (CDCs), to warn about the occurrence of clinical symptoms and the timing of surgery. (biomedcentral.com)
Cholangitis5
  • citation needed] In older individuals, choledochal cysts are more likely to cause abdominal pain and intermittent episodes of jaundice and occasionally cholangitis (inflammation within the bile ducts caused by the spread of bacteria from the intestine into the bile ducts). (wikipedia.org)
  • Bile duct cysts (choledochal cysts) stem from abnormal development of the biliary system and have been associated with cancer (cholangiocarcinoma) as well as infection of the bile duct (cholangitis). (mountsinai.org)
  • Diagnosis and Management of Primary Sclerosing Cholangitis. (booksca.ca)
  • The differential diagnosis includes sclerosing cholangitis, hydatid cyst, choledochal cyst, and hereditary ductal dilatation. (patientcareonline.com)
  • However, patients with primary sclerosing cholangitis (PSC) and those with choledochal cysts present nearly two decades earlier. (gastrotraining.com)
Lesions1
  • 1 Characteristic kidney lesions include renal tubular ectasia (medullary sponge kidney, cortical cyst) and lesions of adult recessive polycystic kidney disease or, rarely, autosomal dominant polycystic kidney disease. (patientcareonline.com)
Gallstones1
Hydatid cyst1
  • Moreover, a hydatid cyst was considered based on ultrasonography (USG) which was later ruled out by the negative serology. (org.pk)
Symptoms5
  • Liver cysts occur in about 5% of the general population and up to 10% of those will develop symptoms such as pain, nausea, discomfort, bloatedness, early satiety, and weight loss. (drpapoulas.com)
  • When a liver cyst becomes large, it stretches the liver capsule which can cause the above symptoms. (drpapoulas.com)
  • The time of prenatal diagnosis and the GGT value within 1 week of life were independent impact factors for the occurrence of clinical symptoms. (biomedcentral.com)
  • Delayed diagnosis and treatment may cause the occurrence of clinical symptoms before surgery, at which time the surgical effect is not good. (biomedcentral.com)
  • Simple liver cyst with no symptoms does not require treatment. (sgh.com.sg)
Cholecystectomy1
  • Most patients can be managed with intravenous antibiotics, percutaneous drainage and t-tube insertion while patients with choledochal cysts required cholecystectomy with roux en y choledochjejunostomy. (edu.pk)
Retrospective study1
  • Secondary bacterial peritonitis in cirrhosis: a retrospective study of clinical and analytical characteristics, diagnosis and management. (medscape.com)
Type of cyst1
  • In cases of saccular type of cyst, excision and placement of T-shaped tube is done. (wikipedia.org)
Premalignant2
  • Choledochal cyst is a premalignant condition with substantial risk of malignant transformation into cholangiocarcinoma, bile duct cancer. (iswantosucandyliversurgery.com)
  • Asymptomatic liver cysts do not require surgical intervention.Treatment of symptomatic liver cyst involves removal of a large portion of the cyst wall (unroofing/fenestration), followed by an evaluation by a pathologist to identify or rule out presence of premalignant cells within the cyst wall. (drpapoulas.com)
Extrahepatic4
  • The presence of diffuse fusiform dilatation of the extrahepatic duct of 3 cm or less coupled with the characteristic intrahepatic ductal findings may be useful in differentiating patients with Caroli disease from those with a choledochal cyst and biliary dilatation. (patientcareonline.com)
  • Banani SA, Bahador A, Nezakatgoo N. Idiopathic perforation of the extrahepatic bile duct in infancy: pathogenesis, diagnosis, and management. (edu.pk)
  • Type IVa Choledochal Cyst: This type presents as multiple dilatations of the intrahepatic and extrahepatic biliary tree. (iswantosucandyliversurgery.com)
  • Type IVb Choledochal Cyst: This type presents as multiple dilatations involving only the extrahepatic bile ducts. (iswantosucandyliversurgery.com)
Liver cyst3
  • Large dominant liver cyst occupying the whole right lobe. (drpapoulas.com)
  • Liver Cyst - How to prevent? (sgh.com.sg)
  • Large liver cyst that cause symptom may benefit from surgical deroofing or removing part of the cyst wall, which is usually done by key hole surgery. (sgh.com.sg)
Fetal3
  • As a partnership between UCI Health and CHOC, The Fetal Care Center of Southern California brings together experts in maternal-fetal medicine and pediatrics, so both mom and baby are cared for-no matter the diagnosis. (choc.org)
  • We provide comprehensive fetal diagnosis, education and treatment plans to families facing congenital conditions. (choc.org)
  • Fetal hilar or abdominal cysts were found by prenatal ultrasonogram. (biomedcentral.com)
Jaundice3
  • The classic triad in adults with choledochal cysts is abdominal pain, jaundice, and palpable right upper quadrant abdominal mass. (medscape.com)
  • For such patients, obstructive jaundice can be relieved by inserting a stent by endoscopic guidance or radiologic guidance, once the diagnosis of cancer is established. (singhealth.com.sg)
  • As a special entity of infantile choledochal cysts (CCs), ADCCs are known as a stenotic distal bile duct or blind-ending cyst, and cholestatic jaundice, liver fibrosis and cirrhosis start from an early stage of life [ 3 ]. (biomedcentral.com)
Laparoscopic5
  • A recent article published in the Journal of Surgery suggested that choledochal cysts could also be treated with single-incision laparoscopic hepaticojejunostomy with comparable results and less scarring. (wikipedia.org)
  • The aim was to investigate the characteristics, surgical management, and outcomes of asymptomatic patients with antenatally diagnosed choledochal cysts (ADCCs) and to justify the strategy of laparoscopic surgery (LS) for them in our hospital. (biomedcentral.com)
  • All patients underwent laparoscopic cyst excision and hepaticojejunostomy in our center. (biomedcentral.com)
  • Laparoscopic cyst excision and Roux-Y hepaticojejunostomy are the main methods for the treatment of CDC [ 1 ]. (biomedcentral.com)
  • All patients underwent laparoscopic cyst excision and hepaticojejunostomy by the same group of experienced physicians in our center. (biomedcentral.com)
Rare congenital2
  • A choledochal cyst (CC) is a rare congenital dilation of the biliary ductal system that can cause troublesome complications when left untreated. (org.pk)
  • Choledochal cysts, are rare congenital dilations (enlargements) of the bile ducts, a biliary tube that drains bile produced by the liver into small intestine for food digestion. (iswantosucandyliversurgery.com)
Diverticulum1
  • Type II: These cysts are present as an isolated diverticulum protruding from the CBD. (wikipedia.org)
Differential5
  • No laboratory studies are specific for the diagnosis of a choledochal cyst, but some may be used to narrow the differential diagnosis. (medscape.com)
  • Hepatobiliary scintigraphy has been widely used for the differential diagnosis of neonatal cholestasis. (ajou.ac.kr)
  • Citation: Madacsy L, Dubravcsik Z, Szepes A (2015) Postcholecystectomy Syndrome: From Pathophysiology to Differential Diagnosis - A Critical Review. (lifewithnogallbladder.org)
  • C. Prophylactic antimicrobials selected children and adults, in the frog-leg position show widening of the patient, the differential diagnosis of cns oxygen delivery. (albionfoundation.org)
  • Qureshi w asge guideline the role of irradiation after subtotal resection even in the setting of severe disease may be due to cytotoxic t cells both by a differential diagnosis of choledochal cyst evidence from the tra-cheostomy cuff. (albionfoundation.org)
Ultrasonography3
  • Diagnosis is based on ultrasonography plus CT cholangiography or magnetic resonance cholangiopancreatography. (merckmanuals.com)
  • Diagnosis is based on ultrasonography. (merckmanuals.com)
  • With the widespread use of routine maternal ultrasonography (US), an increasing number of antenatally diagnosed choledochal cysts (ADCCs) have been diagnosed. (biomedcentral.com)
Anomalies2
Todani2
  • The most accepted classification system of biliary cysts, the Todani classification, does not include this lesion. (wikipedia.org)
  • 1 A widely accepted modified version of Alonso-Lej et al classification was put forward by Todani et al in 1977 which classifies these cysts into five different types. (org.pk)
Patients with Caroli disease1
  • Endoscopic retrograde cholangiopancreatography (ERCP, shown below) can be performed in patients with Caroli disease and can aid in diagnosis. (medscape.com)
Malignant1
  • Tissue diagnosis of cholangiocarcinoma is difficult because it is highly desmoplastic tumour composed of a few malignant cholangiocytes within excessive fibrous tissue. (gastrotraining.com)
Prenatal7
  • 2012. Gonzales KD, Lee H. Chapter 106: Choledochal Cyst [Prenatal Diagnosis]. (wikipedia.org)
  • TheFetus.net website was created with the goal of sharing experiences in prenatal diagnosis to enrich the practitioner's knowledge worldwide. (devdrawer.com)
  • She oversees the prenatal diagnosis program at UCSF, and is an expert in high-risk obstetrical ultrasound and prenatal diagnosis procedures such as amniocentesis and CVS. (ucsf.edu)
  • Genomic sequencing to aid diagnosis in pediatric and prenatal practice: Examining clinical utility, ethical implications, payer coverage, and data integration in a diverse population. (ucsf.edu)
  • Echocardiography echocardiography is an area of suspected or proven immunosuppression or plasma-pheresis, or using genetic linkage for prenatal diagnosis. (albionfoundation.org)
  • Once we've confirmed you or your baby's diagnosis, we will counsel you on what to expect, prenatal interventions you may need, delivering your baby safely and the medical treatment your baby will receive afterward. (choc.org)
  • Prenatal ultrasonogram when the cyst was first detected, abdominal ultrasound and laboratory tests within 1 week of life, abdominal ultrasound, computed tomography (CT), magnetic resonance cholangiopancreatography (MRCP) and laboratory tests before surgery, as well as intraoperative cholangiogram were collected. (biomedcentral.com)
Surgery2
  • Although an upper GI series provides definitive diagnosis, it must be done carefully by a radiologist experienced with doing this procedure on children to avoid aspiration and is not typically necessary if surgery is to be done immediately. (msdmanuals.com)
  • 0.001, respectively) and larger maximum diameter of cyst before surgery ( P = 0.012). (biomedcentral.com)
Pediatrics2
  • Choledochal Cyst, Pediatrics, Diagnostic Errors. (org.pk)
  • Symptom-Based Diagnosis in Pediatrics Shah SS, Ludwig S. Shah S.S., & Ludwig S(Eds. (mhmedical.com)
Treatments2
Hepatobiliary1
Classification2
  • Classification was based on site of the cyst or dilatation. (wikipedia.org)
  • Diagnostic Related Groups (DRGs) are a classification system used to group together diagnosis codes for the purpose of reimbursement and healthcare management. (icdlist.com)
Duodenal1
  • they can bedistinguished from duodenal duplication cysts bothanatomically and histologically. (elsevierpure.com)
Chronic1
Ultrasound3
  • The diagnosis of choledochal cyst is usually through imaging such as ultrasound. (sgh.com.sg)
  • The purpose of this study was to analyze the outcomes of the combination of ultrasound (US)-guided percutaneous external drainage and subsequent definitive operation to manage complicated choledochal cyst in children. (biomedcentral.com)
  • Cross-sectional imaging, endoscopic ultrasound, and endoscopic retrograde cholangiopancreatography are useful for diagnosis. (elsevierpure.com)
Clinical1
Ducts1