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American Journal of Biological and Pharmaceutical Research

Volume 7, Issue 2, 2020
Mcmed International
American Journal of Biological and Pharmaceutical Research
Issn
2348 - 2176 (Print), 2348 - 2184 (Online)
Frequency
bi-annual
Email
editorajbpr@mcmed.us
Journal Home page
http://mcmed.us/journal/ajbpr
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Abstract
Title
CLINICAL PRESENTATIONS AND TREATMENT IN ADULT PATIENTS WITH CHOLEDOCHAL CYST –FORTY SIX CASES FROM EASTERN INDIA
Author
Amit Kumar Samanta*, Biswarup Bose, Kakali Roy Basu, Abhimanyu Basu
Email
ovmanyubasu@yahoo.co.in
keyword
Choledochal cyst, Congenital, Adult females, MRCP, Total cyst excision.
Abstract
A choledochal cyst (CDC) is defined as an isolated or combined congenital dilatation of the intra- and/or extra hepatic biliary tree. It is a rare disease and majority of the patients present either in their infancy or childhood. However, in nearly 20% of the patients with CDC, the diagnosis is delayed till adulthood. Here we analyze the clinical presentation, diagnosis and treatment of congenital bile duct cyst in 46 adults. The clinical data of 46 patients with congenital choledochal cysts admitted from 2005 to 2011 were analyzed in the Department of Surgery, Institute of Post Graduate Medical Education & Research and SSKM Hospital, Kolkata. We also reviewed literature search (Medline) and manual cross-referencing. Female patients outnumbered males. Preoperative imaging is very crucial in evaluating CDC; MRCP is our choice of imaging. Almost all cases, were attempted surgical correction of the defect i.e., complete excision and biliary reconstruction. Complications were duly taken care of and long term follow up is maintained (ongoing). The possibility of the disease should be kept in mind in young adults suffering from symptoms of hepatobiliary disease with dilated bile duct. MRCP is the mainstay of preoperative imaging. . Cyst excision with Roux-en-Y hepaticojejunostomy is recommended as the treatment of choice for patients with type I or type IV cysts. Regular follow up is mandatory.
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