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Gastroenterology Research and Practice
Volume 2015, Article ID 602591, 10 pages
http://dx.doi.org/10.1155/2015/602591
Research Article

Choledochal Cyst in Adults: Etiopathogenesis, Presentation, Management, and Outcome—Case Series and Review

Department of Surgery, Sultan Qaboos University Hospital, P.O. Box 38, 123 Muscat, Oman

Received 15 February 2015; Revised 14 June 2015; Accepted 16 June 2015

Academic Editor: Michel Kahaleh

Copyright © 2015 Norman Oneil Machado et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. M. Kasai, Y. Asakura, and Y. Taira, “Surgical treatment of choledochal cyst,” Annals of Surgery, vol. 172, no. 5, pp. 844–851, 1970. View at Publisher · View at Google Scholar · View at Scopus
  2. M. Yamaguchi, “Congenital choledochal cyst. Analysis of 1,433 patients in the Japanese literature,” The American Journal of Surgery, vol. 140, no. 5, pp. 653–657, 1980. View at Publisher · View at Google Scholar · View at Scopus
  3. C. Y.-L. Woon, Y.-M. Tan, C.-L. Oei, A. Y.-F. Chung, P. K.-H. Chow, and L. L. P.-J. Ooi, “Adult choledochal cysts: an audit of surgical management,” ANZ Journal of Surgery, vol. 76, no. 11, pp. 981–986, 2006. View at Publisher · View at Google Scholar · View at Scopus
  4. M.-J. Cho, S. Hwang, Y.-J. Lee et al., “Surgical experience of 204 cases of adult choledochal cyst disease over 14 years,” World Journal of Surgery, vol. 35, no. 5, pp. 1094–1102, 2011. View at Publisher · View at Google Scholar · View at Scopus
  5. J. P. Lenriot, J. F. Gigot, P. Ségol, P. L. Fagniez, A. Fingerhut, and M. Adloff, “Bile duct cysts in adults: a multi-institutional retrospective study,” Annals of Surgery, vol. 228, no. 2, pp. 159–166, 1998. View at Publisher · View at Google Scholar · View at Scopus
  6. J. S. de Vries, S. de Vries, D. C. Aronson et al., “Choledochal cysts: age of presentation, symptoms, and late complications related to Todani's classification,” Journal of Pediatric Surgery, vol. 37, no. 11, pp. 1568–1573, 2002. View at Publisher · View at Google Scholar · View at Scopus
  7. T. Todani, Y. Watanabe, M. Narusue, K. Tabuchi, and K. Okajima, “Congenital bile duct cysts. Classification, operative procedures, and review of thirty-seven cases including cancer arising from choledochal cyst,” The American Journal of Surgery, vol. 134, no. 2, pp. 263–269, 1977. View at Publisher · View at Google Scholar · View at Scopus
  8. V. T. Ninan, M. R. N. Nampoory, K. V. Johny et al., “Caroli's disease of the liver in a renal transplant recipient,” Nephrology Dialysis Transplantation, vol. 17, no. 6, pp. 1113–1115, 2002. View at Publisher · View at Google Scholar · View at Scopus
  9. S. Crankson and S. Ahmed, “Choledochal cyst: case report and review of literature,” Annals of Saudi Medicine, vol. 11, no. 5, pp. 585–588, 1991. View at Google Scholar · View at Scopus
  10. J.-Y. Mabrut, G. Bozio, C. Hubert, and J.-F. Gigot, “Management of congenital bile duct cysts,” Digestive Surgery, vol. 27, no. 1, pp. 12–18, 2010. View at Publisher · View at Google Scholar · View at Scopus
  11. P. A. Lipsett, H. A. Pitt, P. M. Colombani, J. K. Boitnott, and J. L. Cameron, “Choledochal cyst disease: a changing pattern of presentation,” Annals of Surgery, vol. 220, no. 5, pp. 644–652, 1994. View at Publisher · View at Google Scholar · View at Scopus
  12. S. Al-Sinani, K. Al Naamani, W. Lutfi, and A. Al Hajri, “Choledochal cysts in Omani children: a case series,” Arab Journal of Gastroenterology, vol. 13, no. 2, pp. 89–92, 2012. View at Publisher · View at Google Scholar · View at Scopus
  13. N. Komi, T. Tamura, Y. Miyoshi, K. Kunitomo, H. Udaka, and H. Takehara, “Nationwide survey of cases of choledochal cyst. Analysis of coexistent anomalies, complications and surgical treatment in 645 cases,” Surgical Gastroenterology, vol. 3, no. 2, pp. 69–73, 1984. View at Google Scholar · View at Scopus
  14. J. Z. Jona, D. P. Babbitt, R. J. Starshak, A. J. LaPorta, M. Glicklich, and R. D. Cohen, “Anatomic observations and etiologic and surgical considerations in choledochal cyst,” Journal of Pediatric Surgery, vol. 14, no. 3, pp. 315–320, 1979. View at Publisher · View at Google Scholar · View at Scopus
  15. K. Söreide, H. Körner, J. Havnen, and J. A. Söreide, “Bile duct cysts in adults,” British Journal of Surgery, vol. 91, no. 12, pp. 1538–1548, 2004. View at Publisher · View at Google Scholar · View at Scopus
  16. C. Turowski, A. S. Knisely, and M. Davenport, “Role of pressure and pancreatic reflux in the aetiology of choledochal malformation,” British Journal of Surgery, vol. 98, no. 9, pp. 1319–1326, 2011. View at Publisher · View at Google Scholar · View at Scopus
  17. A. Vater and C. S. Ezler, “Dissertio de scirrhes viscerum occasione sections vire typanite defunte,” Wittenburgae 1723;4 Pamphlers 881;22, (German).
  18. D. P. Babbitt, “Congenital choledochal cysts: new etiological concept based on anomalous relationships of the common bile duct and pancreatic bulb,” Annales de Radiologie, vol. 12, no. 3, pp. 231–240, 1969. View at Google Scholar · View at Scopus
  19. H. K. Song, M. H. Kim, S. J. Myung et al., “Choledochal cyst associated the with anomalous union of pancreaticobiliary duct (AUPBD) has a more grave clinical course than choledochal cyst alone,” The Korean Journal of Internal Medicine, vol. 14, no. 2, pp. 1–8, 1999. View at Google Scholar · View at Scopus
  20. J. F. R. Robertson and P. A. M. Raine, “Choledochal cyst: a 33-year review,” British Journal of Surgery, vol. 75, no. 8, pp. 799–801, 1988. View at Publisher · View at Google Scholar · View at Scopus
  21. K. Kimura, M. Ohto, T. Ono et al., “Congenital cystic dilatation of the common bile duct: relationship to anomalous pancreaticobiliary ductal union,” American Journal of Roentgenology, vol. 128, no. 4, pp. 571–577, 1977. View at Publisher · View at Google Scholar · View at Scopus
  22. M. Imazu, N. Iwai, K. Tokiwa, T. Shimotake, O. Kimura, and S. Ono, “Factors of biliary carcinogenesis in choledochal cysts,” European Journal of Pediatric Surgery, vol. 11, no. 1, pp. 24–27, 2001. View at Publisher · View at Google Scholar · View at Scopus
  23. C. J. Ward, M. C. Hogan, S. Rossetti et al., “The gene mutated in autosomal recessive polycystic kidney disease encodes a large, receptor-like protein,” Nature Genetics, vol. 30, no. 3, pp. 259–269, 2002. View at Publisher · View at Google Scholar · View at Scopus
  24. T. Shimotake, N. Iwai, J. Yanagihara, K. Inoue, and S. Fushiki, “Innervation patterns in congenital biliary dilatation,” European Journal of Pediatric Surgery, vol. 5, no. 5, pp. 265–270, 1995. View at Publisher · View at Google Scholar · View at Scopus
  25. C. S. Huang, C. C. Huang, and D. F. Chen, “Choledochal cysts: differences between pediatric and adult patients,” Journal of Gastrointestinal Surgery, vol. 14, no. 7, pp. 1105–1110, 2010. View at Publisher · View at Google Scholar · View at Scopus
  26. V. Y. Sacher, J. S. Davis, D. Sleeman, and J. Casillas, “Role of magnetic resonance cholangiopancreaticography in diagnosing choledochal cysts: case series and review,” World Journal of Radiology, vol. 5, no. 8, pp. 304–312, 2013. View at Google Scholar
  27. S. K. Yeom, S. W. Lee, S. H. Cha et al., “Biliary reflux detection in anomalous union of the pancreatico-biliary duct patients,” World Journal of Gastroenterology, vol. 18, no. 9, pp. 952–959, 2012. View at Publisher · View at Google Scholar · View at Scopus
  28. S. A. Khan, B. R. Davidson, R. Goldin et al., “Guidelines for the diagnosis and treatment of cholangiocarcinoma: consensus document,” Gut, vol. 51, supplement 6, pp. VI1–VI9, 2002. View at Publisher · View at Google Scholar
  29. T. Todani, Y. Watanabe, A. Toki, and N. Urushihara, “Carcinoma related to choledochal cysts with internal drainage operations,” Surgery, Gynecology & Obstetrics, vol. 164, no. 1, pp. 61–64, 1987. View at Google Scholar · View at Scopus
  30. D. M. Nagorney, “Biliary and liver cysts,” in Surgery of the Liver and Biliary Tract, L. H. Blumgart and Y. Fong, Eds., vol. 2, pp. 1245–1258, Saunders, London, UK, 3rd edition, 2000. View at Google Scholar
  31. J. Singham, E. M. Yoshida, and C. H. Scudamore, “Choledochal cysts. Part 2 of 3. Diagnosis,” Canadian Journal of Surgery, vol. 52, no. 6, pp. 506–511, 2009. View at Google Scholar · View at Scopus
  32. J. R. Lilly, “Total excision of choledochal cyst,” Surgery Gynecology and Obstetrics, vol. 146, no. 2, pp. 254–256, 1978. View at Google Scholar · View at Scopus
  33. J. F. Gigot, D. M. Nagorney, M. B. Farnell, C. Moir, and D. Ilstrup, “Bile duct cysts: a changing spectrum of presentation,” Journal of Hepato-Biliary-Pancreatic Surgery, vol. 3, no. 4, pp. 405–411, 1996. View at Publisher · View at Google Scholar · View at Scopus
  34. C. R. Voyles, C. Smadja, W. C. Shands, and L. H. Blumgart, “Carcinoma in choledochal cysts: age-related incidence,” Archives of Surgery, vol. 118, no. 8, pp. 986–988, 1983. View at Publisher · View at Google Scholar · View at Scopus
  35. B. Jabłońska, “Biliary cysts: etiology, diagnosis and management,” World Journal of Gastroenterology, vol. 18, no. 35, pp. 4801–4810, 2012. View at Publisher · View at Google Scholar · View at Scopus
  36. A. Shimotakahara, A. Yamataka, T. Yanai et al., “Roux-en-Y hepaticojejunostomy or hepaticoduodenostomy for biliary reconstruction during the surgical treatment of choledochal cyst: which is better?” Pediatric Surgery International, vol. 21, no. 1, pp. 5–7, 2005. View at Publisher · View at Google Scholar · View at Scopus
  37. B. Mukhopadhyay, R. Shukla, M. Mukhopadhyay et al., “Choledochal cyst: a review of 79 cases and the role of hepaticodochoduodenostomy,” Journal of Indian Association of Pediatric Surgeons, vol. 16, no. 2, pp. 54–57, 2011. View at Publisher · View at Google Scholar · View at Scopus
  38. T. Miyano, A. Yamataka, Y. Kato, S. Kohno, and T. Fujiwara, “Choledochal cysts: special emphasis on the usefulness of intra-operative endoscopy,” Journal of Pediatric Surgery, vol. 30, no. 3, pp. 482–484, 1995. View at Publisher · View at Google Scholar · View at Scopus
  39. R. Lal, S. Agarwal, R. Shivhare et al., “Type IV-A choledochal cysts: a challenge,” Journal of Hepato-Biliary-Pancreatic Surgery, vol. 12, no. 2, pp. 129–134, 2005. View at Publisher · View at Google Scholar · View at Scopus
  40. P. A. Lipsett and H. A. Pitt, “Surgical treatment of choledochal cysts,” Journal of Hepato-Biliary-Pancreatic Surgery, vol. 10, no. 5, pp. 352–359, 2003. View at Publisher · View at Google Scholar · View at Scopus
  41. J.-Y. Mabrut, C. Partensky, D. Jaeck et al., “Congenital intrahepatic bile duct dilatation is a potentially curable disease: long-term results of a multi-institutional study,” Annals of Surgery, vol. 246, no. 2, pp. 236–245, 2007. View at Publisher · View at Google Scholar · View at Scopus
  42. M. Bockhorn, M. Malagó, H. Lang et al., “The role of surgery in Caroli’s disease,” Journal of the American College of Surgeons, vol. 202, no. 6, pp. 928–932, 2006. View at Publisher · View at Google Scholar · View at Scopus
  43. M. Tanaka, S. Shimizu, K. Mizumoto et al., “Laparoscopically assisted resection of choledochal cyst and Roux-en-Y reconstruction,” Surgical Endoscopy, vol. 15, no. 6, pp. 545–551, 2001. View at Publisher · View at Google Scholar · View at Scopus
  44. L. de Kerckhove, M. de Meyer, C. Verbaandert et al., “The place of liver transplantation in Caroli's disease and syndrome,” Transplant International, vol. 19, no. 5, pp. 381–388, 2006. View at Publisher · View at Google Scholar · View at Scopus
  45. S.-T. Tang, Y. Yang, Y. Wang et al., “Laparoscopic choledochal cyst excision, hepaticojejunostomy, and extracorporeal Roux-en-Y anastomosis: a technical skill and intermediate-term report in 62 cases,” Surgical Endoscopy and Other Interventional Techniques, vol. 25, no. 2, pp. 416–422, 2011. View at Publisher · View at Google Scholar · View at Scopus
  46. H. J. Shen, M. Xu, H. Y. Zhu et al., “Laparoscopic versus open surgery in children with choledochal cysts: a meta-analysis,” Pediatric Surgery International, vol. 31, pp. 529–534, 2015. View at Google Scholar
  47. G. A. Margonis, G. Spolverato, Y. Kim et al., “Minimally invasive resection of choledochal cyst: a feasible and safe surgical option,” Journal of Gastrointestinal Surgery, vol. 19, no. 5, pp. 858–865, 2015. View at Publisher · View at Google Scholar · View at Scopus
  48. J. H. Kim, T. Y. Choi, J. H. Han et al., “Risk factors of postoperative anastomotic stricture after excision of choledochal cysts with hepaticojejunostomy,” Journal of Gastrointestinal Surgery, vol. 12, no. 5, pp. 822–828, 2008. View at Publisher · View at Google Scholar · View at Scopus
  49. J. A. Myburgh, “The Hepp-Couinaud approach to strictures of the bile ducts: I. Injuries, choledochal cysts, and pancreatitis,” Annals of Surgery, vol. 218, no. 5, pp. 615–620, 1993. View at Publisher · View at Google Scholar · View at Scopus