Choledochal Cyst Complication of Pregnancy

Česká verzia

Authors: E. Bakoš; M. Mlynček ^*; M. Dubaj; D. Ďurčanský ^**; M. Bakoš; J. Korček; T. Jankovič
Authors place of work: Chirurgická klinika FN Nitra, Slovenská republika, prednosta: doc. MUDr. E. Bakoš, CSc. ; Gynekologicko-pôrodnícka klinika FN Nitra, Slovenská republika, prednosta: doc. MUDr. M. Mlynček, CSc. ^*; Ústav patológie FN Nitra, Slovenská republika, prednosta: h. doc. D. Ďurčanský, CSc. ^**
Published in the journal: Rozhl. Chir., 2007, roč. 86, č. 5, s. 236-240.
Category: Monothematic special - Original

Summary

Authors in this case report describe rare complication of pregnancy. Ultrasound examination showed cystic lesion in abdominal cavity. It was indicated caesarean section because of deterioration of patient’s condition. After the removal of foetus it was peroperative found cystic lesion in subhepatal area in right mesogastrium. Cystic lesion compressed stomach, colon transverse and loops of small intestine. After the revision of abdominal cavity and local finding surgeon detected choledochal cyst. It was resected and sutured hepaticojejunoanastomosis.

Key words:
pregnancy – choledochal cyst – hepaticojejunoanastomosis

Zdroje

1. Howell, C. G., Templeton, J. M., Weiner, S., Glassman, M., Betts, J. M., Witzleben, C. L. Antenatal diagnosis and early surgery for choledochal cyst. J. Pediatr. Surg., 1983, 18: 387–393.

2. Wu, D. Q., Zheng, L. X., Wang, Q. S., Tan, W. H., Hu, S. J., Li, P. L. Choledochal cyst in pregnancy: Case management and litarature review. World L. Gastroenterol., 2004, 10 (20): 3065.

3. Sela-Herman, S., Scharschmidt, B. F. Choledochal cyst, a disease for all ages. Lancet, 1996, 347:779.

4. Babbitt, D. P., Starshak, R. J., Clemett, A. R. Choledochal cyst: a concept of etiology. Am. J. Roentgenol. Radium Ther. Nucl. Med., 1973, 119: 57–62.

5. Okada, A., Nakamura, T., Higaki, J., Okumura, K., Kamata, S., Oguchi, Y. Congenital dilatation of the bile duct in 100 instances and its relationship with anomalous junction. Surg. Gynecol. Obstet., 1990, 171: 291–298.

6. Yu, Z. L., Zhang, L. J., Fu, J. Z. Anomalous pancreaticobiliary junction: image analysis and treatment principles. Hepatobiliary Pancreat. Dis. Int., 2004, Feb, 3(1): 136–139.

7. Nagi, B., Kochhar, R., Bhasin, D. Endoscopic retrograde cholangiopancreatography in the evaluation of anomalous junction of the pancreaticobiliary duct and related disorders. Abdom. Imaging, 2003, Nov-Dec, 28(6): 847–852.

8. Todani, T., Watanabe, Y., Narusue, M. Congenital bile duct cysts. Classification, operative procedures, and review of thirty-seven cases including cancer arising from choledochal cyst. Am. J. Surg., 1977, 134: 263–269.

9. Jan, Y. Y., Chen, H. M., Chen, M. F. Malignancy in choledochal cysts. Hepatogastroenterology, 2000, 47: 337–340.

10. Rossi, R. L., Silverman, M. L., Braasch, J. W., Munson, J. L., ReMine, S. G. Carcinomas arising in cystic conditions of the bile ducts: a clinical and pathologic study. Ann. Surg., 1987, 205: 377–384.

11. Reveille, R. M., van Stiegmann, G., Everson, G. T. Increased secondary bile acids in a choledochal cyst: possible role in biliary metaplasia and carcinoma. Gastroenterology, 1990, 99: 525–527.

12. Wu, Z., Lu, Y., Wang, B., Liu, C. Effects of bile acids on proliferation and ultrastructural alteration of pancreatic cancer cell lines. World J. Gastroenterol., 2003, Dec, 9(12): 2759–2763.

13. Černý, J. Špeciálna chirurgia 2. 1992, s. 139–141.

14. Powell, C. S., Sawyers, J. L., Reynolds, V. H. Management of adult choledochal cysts. Ann. Surg., 1981; 193: 666-676.