Choledochalcyst In Childhood

Indian Journal of Applied Basic Medical Sciences
Year: 2020, Volume: 22(B), Issue. (2)
First page: (166) Last page: (173)
Online ISSN: 2249-7935
Print ISSN: 0975-8917
doi: 10.48165/ijabms.2020.22213

Choledochalcyst In Childhood
Kushwaha1* and Jigar Patel2
1Associate professor of surgery Department of General Surgery, Sheth Vadilal Sarabhai General Hospital,Ahmedabad Pin 380006 India
2Resident doctor of surgery Department Of General Surgery,sheth Vadilal Sarabhai General Hospital,ahmedabad Pin 380006 India
Corresponding Author: M.r.kushwaha, Email: Kushwaha3323@gmail.com

Online Published on 02-July-2021

ABSTRACT

Objective.to Study Clinical Presentation, Management And Result Of Treatment Of 11 Consecutive Case Of Choledochal Cyst Managed From 2012 To 2019.Method.11 Children Presented With Upper Abdominal Pain(72.72%),jaundice(27.27%),mass(18.18%).ultrasonography Diagnosed/suggested In All 11 Children And Magnetic Resonance Cholangiopancreatogram Suggested In 11 Patient.Result.9 Patient From 11 Children Have Type 1a (cystic Dilation).2 Patient Have Type 1c(fusiform Dilatation). Operative Management Management Included Primary Complete Excision Of Choledochal Cyst With Roux-En-Y-Hepaticodochojejeunostomy(n=9),and Cyst Excision With Hepaticojejunostomy(n=2).there Are 1 Postoperative Death Due To Deep Icterus And Poor General Condition Prior To Surgery.short Term Follow Up Was Satisfactory In All 10 Patient.Conclusion.choledochal Cyst Kept In Mind While Evaluating Children With Recurrent Upper Abdominal Pain And Jaundice.primary Excision Of Choledochal Cyst With Roux-En-Y-Hepaticodochojejunostomy Providing Satisfactory Result In Management Of Vast Majority Of Case Of Choledochal Cyst In Childhood.Choledochal Cyst Is A Cystic Or Fusiform Dilatation Of Biliary Tree And Rare Malformation Incidance 1 In 100000 To 190000 Live Birth In Western Population.it Has Higher Incidance In Asia Particular In Japan(1 In 1000 Live Birth).Congenital Biliary Dilation Associated With Anomalous Pancreatobiliary Junction (90% Patient With Choledochal Cyst) And Obstructive Factor Localized
At Junction Of Choledochus And Duodenum As Abnormal Angularity Or Congenital Stensosis Of Common Bile Duct.This Paper Describe The Presentation ,investigate And Management And Outcome In 11 Consecutive Case Of Choledochal Cyst Managed At Our Institute, A Tirtiary Level Care Centre Over Peroiud Of Last 6 Year

Keywords

Choledochal Cyst,Abdominal Pain,ultrasonography,Pancreatobiliary.