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Choledochal Cyst with Portal Hypertension: A Case Report
並列摘要
Introduction: Choledochal cysts in adults are commonly associated with hepatobHiary pathology and complications of previous cyst related procedures. Portal hypertension is a rare complication of choledochal cyst. The treatment of choledochal cyst complicated by portal hypertension has evolved from internal drainage of cysts to single stage excision of cyst with bHio-enteric anastomosis. Case Report: A is-year-old female presented with typical triad of abdominal pain, abdominal lump and jaundice. Magnetic resonance cholangiopancreatography (MRCP) was suggestive of type-I choledochal cyst with portal hypertension. An upper gastrointestinal endoscopy revealed grade 1 esophageal varices with proximal gastropathy. Intraoperatively, the posterior wall of the choledochal cyst was densely adherent to the portal vein and hence a partial excision of cyst with stripping of the mucosa of the posterior wall of the cyst along with Roux-en-Y hepaticojejunostomy was done. Conclusion: Single stage excision of choledochal cyst with bilio-enteric anastomosis is the treatment of choice of choledochal cyst with portal hypertension. Portal decompression is reserved for cases with extensive collaterals in the hepatoduodenal ligament.
延伸閱讀
- 王普善、林隆煌（1993）。Choledochal Cyst Associated with Dominant Dorsal Duct Syndrome: Report of Two Cases。Acta Paediatrica Sinica，34(2)，157-162。https://www.airitilibrary.com/Article/Detail?DocID=00016578-199304-34-2-157-162-a
- Cheng, S. J., Lee, C. H., & Chen, C. C. (1975). Congenital Choledochal Cyst: Report of a Case with Unusual Clinical Manifestation. Acta Paediatrica Sinica, 16(2), 79-83. https://www.airitilibrary.com/Article/Detail?DocID=00016578-197506-16-2-79-83-a
- Chiang, K. H., Chang, P. Y., Liu, Y. X., Lee, S. K., Yen, P. S., Ling, C. M., Lin, C. C., Lee, C. C., & Chou, A. S. B. (2005). Hydatid Cyst of Liver: A Case Report. 中華放射線醫學雜誌, 30(5), 295-299. https://www.airitilibrary.com/Article/Detail?DocID=10188940-200510-30-5-295-299-a
- Dhupar, R., Gulack, B., Geller, D. A., Marsh, J. W., & Gamblin, T. C. (2009). The Changing Presentation of Choledochal Cyst Disease: An Incidental Diagnosis. HPB Surgery, 2009(), 3-6. https://doi.org/10.1155/2009/103739
- Lee, M. Y., Juan, C. J., Fan, H. C., Chao, H. M., Chu, C. C., Yuh, Y. S., & Huang, C. F. (2002). Choledochal Cysts in Children: A Case Report. Journal of Medical Sciences, 22(2), 87-90. https://www.airitilibrary.com/Article/Detail?DocID=10114564-200204-201305090051-201305090051-87-90