Choledochal cyst with large stone cast and portal hypertension

作     者：Shivendra Singh Laxman Singh Kheria Sunil Puri Amrinder S Puri Anil K Agarwal 

作者机构：Departments of Gastrointestinal Surgery GB Pant Hospital & Maulana Azad Medical College Radiodiagnosis GB Pant Hospital & Maulana Azad Medical College Gastroenterology GB Pant Hospital & Maulana Azad Medical College 

出 版 物：《Hepatobiliary & Pancreatic Diseases International》 (国际肝胆胰疾病杂志（英文版）)

年 卷 期：2009年第8卷第6期

页      面：647-649页

核心收录：

学科分类：1002[医学-临床医学] 10[医学] 

主　　题：choledochal cyst cystolithiasis portal hypertension 

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.