Year : 2019 | Volume
: 7 | Issue : 4 | Page : 138--142
Experiences of choledochal cyst in pediatric and adult population: A case series
AK Roy1, Sanjay Kumar Bhat2, Rahul Bhushan1, Nisar Ahmed Ansari1, PK Mishra3, Maham Ahmad1, Nikhil Mehrotra1, CS Rawat1
1 Department of Surgery, Era Medical College, Lucknow, Uttar Pradesh, India
2 Department of General Surgery, Dr. Ram Manohar Lohia Institute of Medical Science, Lucknow, Uttar Pradesh, India
3 Department of Health and Bio Statistics, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
Introduction: Choledochal cysts are a relatively uncommon disease of the bile duct which is the cystic dilatation of the intra- or extrahepatic bile ducts. Literature is scarce on its clinicopathological behavior among children and adults and its comparison.
Methods: The retrospective study was aimed to study the clinical characteristics, management, and complications between pediatric and adult patients with choledochal cysts.
Results: There was higher female preponderance with male to female ratio of 3:17 in pediatric age group while 1:4 in adult age. Abdominal pain was more common among adults, while palpable mass was more common among pediatrics population (P < 0.05). Jaundice was more evident in the pediatric age group, yet the classic triad of choledochal cyst (abdominal pain, jaundice, and a palpable mass) was not observed in any age group. About 76% of the cysts were type 1 cysts, which was more common among pediatric age group (40% vs. 90% P < 0.05) while with adults presented more with a type IVA cyst (60% vs. 10% P > 0.05). No patients with type II, type III, type IVB cysts, or type V were found. Sixteen patients underwent Lilly technique, with resection of the choledochal mucosa and Roux-en-Y hepaticojejunostomy, while nine patients underwent resection of the choledochal cyst and Roux-en-Y hepaticojejunostomy. Patients who received total excision had fewer surgical complications in both groups.
Conclusion: Although there is a significant difference in the clinical characteristics of choledochal cysts between children and adults, yet early detection and necessary surgery is essential for patients with choledochal cysts.
Sanjay Kumar Bhat
Associate Professor, Department of General Surgery, Dr Ram Manohar Lohia Institute of Medical Sciences, Lucknow
|How to cite this article:|
Roy A K, Bhat SK, Bhushan R, Ansari NA, Mishra P K, Ahmad M, Mehrotra N, Rawat C S. Experiences of choledochal cyst in pediatric and adult population: A case series.Saudi Surg J 2019;7:138-142
|How to cite this URL:|
Roy A K, Bhat SK, Bhushan R, Ansari NA, Mishra P K, Ahmad M, Mehrotra N, Rawat C S. Experiences of choledochal cyst in pediatric and adult population: A case series. Saudi Surg J [serial online] 2019 [cited 2020 Sep 22 ];7:138-142
Available from: http://www.saudisurgj.org/article.asp?issn=2320-3846;year=2019;volume=7;issue=4;spage=138;epage=142;aulast=Roy;type=0