We studied and analyzed 66 cases of choledochal cyst in a 9 year period from March, 1985 to December, 1994 at Hangang, Kangnam and Chuncheon Sacred Heart Hospital.
@ES The results were as follows:
@EN 1) Age ranged from 1 year to 82 years and 11 of 66 cases were below 10 years. The ratio of men to women was 1 : 19.
2) The frequency of the triad of symptoms and signs were in order of abdominal pain 53 cases(80.3%), jaundice 12 cases(18.2%) and abdominal mass 9 cases(13.6%). The classical triad of pain, mass and jaundice was present in only 2 cases(3.0%).
3) Alkaline phosphatase was elevated in 42 cases(63.6%), hyperbilirubinemia in 29 cases(43.9%) and hyperamylasemia in 9 cases(13.6%).
4) Performed diagnostic procedures were ultrasonogram in 57 cases(84.6%), endoscopic retrograde cholangiopancreatogram in 32 cases(48.5%), DISIDA scan in 18 cases(27.3%), computed tomogram in 14 cases(21.2%) and percutaneous transhepatic
cholangiogram
in 6 cases(9.1%).
5) Among 38 cases which ERCP or PTC were performed, according to the Todani's classification, Type I was seen in 28 cases(73.7%), Type IVA in 7 cases(18.4%), Type II in 2 cases(5.3%) and Type V in 1 cases(2.6%).
6) The associated diseases were cholangitis in 15 cases(22.7%), choledocholithiasis in 12 cases(18.2%) and cholangiocarecinoma in 2 cases(3.0%).
7) Operative procedures were performed in 22 of 66 cases, excision of cyst with Roux-en-Y choledochojejunostomy in 17 cases, choledochocystojejunostomy in 2 cases and external drainage in 3 cases.
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