How do you treat a choledochal cyst?
How are choledochal cysts treated? Children with choledochal cysts need surgery to remove them. This involves removing a lobe of the liver if the cysts are intrahepatic, or part of the duct outside of the liver if the cysts are located there. This surgery also includes biliary reconstruction using a piece of intestine.
What is choledochal cyst?
A choledochal cyst is a congenital anomaly of the duct (tube) that transports bile from the liver to the gall bladder and small intestine. The liver produces bile to help digest food. When a child has a choledochal cyst, a swelling of that duct, bile may back up in the liver.
What are the symptoms of choledochal cyst?
Symptoms of Choledochal Cyst
- Yellow color to the eyes and skin (jaundice)
- Pain in the upper-right belly (upper-right-quadrant pain)
- Soft mass that can be felt in the upper-right belly.
- Pale or clay-colored stools (feces)
- Fever, if they have an infection (cholangitis)
What are the complications associated with choledochal cyst?
Patients undergoing excision of a choledochal cyst are subject to the usual complications associated with surgery, including hemorrhage, wound infection, bowel obstruction, and thrombotic complications. Postoperatively, patients are at risk of developing pancreatitis and ascending cholangitis.
Are choledochal cysts cancerous?
Choledochal cyst is a premalignant condition with substantial risk of malignant transformation into cholangiocarcinoma, bile duct cancer. Cholangiocarcinoma is a type of highly aggressive cancer with a poor prognosis. Diagnosis of choledochal cyst is obtained with CT scan or MRI/MRCP scan.
How is choledochal cyst diagnosed?
Choledochal cysts are most commonly diagnosed by ultrasound. In rare cases the cysts may be diagnosed before birth on a prenatal ultrasound.
What is the most common type of choledochal cyst?
Type I cysts (see image below) are the most common and represent 80-90% of choledochal cysts. They consist of saccular or fusiform dilatations of the common bile duct, which involve either a segment of the duct or the entire duct. They do not involve the intrahepatic bile ducts.
Are choledochal cysts hereditary?
Choledochal cyst is a rare congenital dilatation of the extrahepatic and/or intrahepatic biliary tract. Some possibilities have been postulated regarding inheritance of congenital bile duct dilatation (CBD), since several familial CBD cases have been reported. However, the etiology of CBD is essentially unknown.
Will Urgent Care remove a cyst?
Both aspiration and cyst removal can be performed in an urgent care center. The treatment of the cyst depends on certain factors, including the type and location of the cyst, and also whether the cyst is infected.
What vitamin is good for cysts?
Conclusions: The dose-dependent vitamin C supplementation significantly reduced the volumes and weights of the endometriotic cysts.
What are the different types of choledochal cysts?
Todani Classification of Choledochal cysts 1 Type I, II and III = Extrahepatic 2 Type IV = Extrahepatic + Intrahepatic 3 Type V = Intrahepatic
Is the Todani classification of bile duct cysts accurate?
The Todani classification added type V (Caroli disease) to the earlier classification. The Todani classification scheme has been called into question in the surgical literature, with claims that it may inaccurately link multiple distinct processes into a spuriously coherent grading scheme 2,3 .
When was the first excision of a choledochal cyst?
O’Neill JA JrClatworthy HW Jr Management of choledochal cysts: a fourteen-year follow-up. Am Surg.1971;37230- 237Google Scholar 5. Ishida MTsuchida YSaito SHori T Primary excision of choledochal cysts. Surgery.1970;68884- 888Google Scholar 6.
When did the Todani classification of renal cysts begin?
Association with benign renal tubular ectasia and other forms of renal cystic disease. The Todani classification (1977) arose out of the earlier Alonso-Lej classification (1959). The Todani classification added type V (Caroli disease) to the earlier classification.