Cystic dilatation of bile duct, so called "choledochal cysts" are a well documented abnormalities. Although choledochal cyst is a relatively rare disease, the number of reports have been increasing especially in the Orient. It may be easily overlooked by the conventional diagnostic methods, such as upper gastrointestinal series, intravenous cholangiography and abdominal ultrasonogrsphy, Recent advances on diagnostic methods, such as endoscopic retrograde cholangiopancreatography and percutaneous
transhepatic cholangiography have been helpful in demonstrating choledochal cysts. 29 patients with choledochal cysts who had been admitted in Hanyang Universty Hospital between September 1981 and August 1991 were reviewed and the clinical endoscopic
and rediographic findings were discussed comparing with that from foreign literatures.
@ES The results were as follows:
@EN 1) Male to female ratio was 1: 4 with the peak age below 10 years(31%).
2) Clinical symptoms were abdominal pain(69%), mass(52%) and jaundice(34%). Typical clinical triad was present in 14% of the cases.
3) According to Todani’s classification, 25 cases(86.21%) were in Type I and 4 cases(13.79%) 0 were in Type IV.
4) Associated hepatobiliary were diseases were cholecystitis(38%), choledcholithiasis(31%) and cholangitis(17%) etc.
5) Operative procidures were choledochocystectomy and hepaticojejunostomy in 13 cases, choledochocystectomy and Roux-en-y choledochojejunostomy in 10 cases, choledochocystojejunostomy in 2 cases, and choledochocystoduodenostomy in l case.
|