ACQUIRED CHOLEDOCHAL CYST FROM ANOMALOUS PANCREATICOBILIARY DUCT UNION

Citation
Sj. Han et al., ACQUIRED CHOLEDOCHAL CYST FROM ANOMALOUS PANCREATICOBILIARY DUCT UNION, Journal of pediatric surgery, 32(12), 1997, pp. 1735-1738
Citations number
24
ISSN journal
00223468
Volume
32
Issue
12
Year of publication
1997
Pages
1735 - 1738
Database
ISI
SICI code
0022-3468(1997)32:12<1735:ACCFAP>2.0.ZU;2-O
Abstract
The high incidence of anomalous pancreatobiliary duct union (APBDU) in children who have a choledochal cyst has been well documented. Additi onally, cylindrical dilatation of the bile duct has been reproduced in animal models by anastomosing the pancreatic duct to the bile duel. I n recent years, APBDU has been considered a possible etiologic factor in the formation of a choledochal cyst. The authors observed a progres sive cylindrical dilatation of the common bile duct in a 6-year-old bo y over an 18-month period, An operative cholangiogram showed a type I, choledochal cyst and a type B APBDU (Todani classification). This cli nical experience suggests that a normal common bile duct in children c an be progressively dilated and become an acquired choledochal cyst ar ising as a complication of the preexisting APBDU.