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HPB Surgery
Volume 10 (1997), Issue 4, Pages 211-219
http://dx.doi.org/10.1155/1997/38416

Endoscopic Retrograde Cholangiopancreatography in the Diagnosis and Management of Choledochal Cysts

1Departments of Gastroenterology, University of Çukurova School of Medicine, Adana, Turkey
2Departments of Surgery, University of Çukurova School of Medicine, Adana, Turkey
3Departments of Pathology, University of Çukurova School of Medicine, Adana, Turkey

Received 26 June 1996

Copyright © 1997 Hindawi Publishing Corporation. 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.

Abstract

Choledochal cysts are an uncommon anomaly of the biliary system manifested by cystic dilatation of the extra or intrahepatic biliary tree or both. It is most frequently found in Orientals and in females. Endoscopic retrograde cholangiopancreatography is a valuable imaging technique in the diagnosis of choledochal cysts in adults. Additionaly, in selected cases, a choledochocele may be effectively managed by endoscopic sphincterotomy. We present clinical and endoscopic findings of six adult patients with choledochal cysts. Clinical symptoms were characterized by abdominal pain, jaundice and cholangitis. Associated hepatobiliary pathologic findings included cholelithiasis, recurrent acute pancreatitis, gallbladder carcinoma, Cystolithiasis, choledocholithiasis, biliary stricture and hepatic abscess.