Cystic dilatation of the common bile duct in adults: report of five cases and review of literature

The authors report five cases of cystic dilatation of the common bile duct Type I (Todani’s classification) in adults patients, in Division of General Surgery of a University Hospital, treated over a- 25-year- period from 1974 to 1999, among 16.057 operations, and not previously published. Diagnosis...

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Main Authors: Pedro Carlos Loureiro de Arruda, Antonio Roberto de Barros Coelho, José Falcão Corrêa Lima Filho, Ricardo José Caldas Machado, Ayrton Ponce de Souza, Carlos Augusto de Carvalho Mathias, Álvaro Antônio Bandeira Ferraz, Edmundo Machado Ferraz
Format: Article
Language:English
Published: Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia 2000-12-01
Series:Acta Cirúrgica Brasileira
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502000000400009&tlng=en
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author Pedro Carlos Loureiro de Arruda
Antonio Roberto de Barros Coelho
José Falcão Corrêa Lima Filho
Ricardo José Caldas Machado
Ayrton Ponce de Souza
Carlos Augusto de Carvalho Mathias
Álvaro Antônio Bandeira Ferraz
Edmundo Machado Ferraz
author_facet Pedro Carlos Loureiro de Arruda
Antonio Roberto de Barros Coelho
José Falcão Corrêa Lima Filho
Ricardo José Caldas Machado
Ayrton Ponce de Souza
Carlos Augusto de Carvalho Mathias
Álvaro Antônio Bandeira Ferraz
Edmundo Machado Ferraz
author_sort Pedro Carlos Loureiro de Arruda
collection DOAJ
description The authors report five cases of cystic dilatation of the common bile duct Type I (Todani’s classification) in adults patients, in Division of General Surgery of a University Hospital, treated over a- 25-year- period from 1974 to 1999, among 16.057 operations, and not previously published. Diagnosis was obtained by operative cholangiogram (OC) in the first case, percutaneous transhepatic cholangiogram on the second one (PTHC) and by ultrasonography (US), endoscopic retrograde cholangiopancreatography (ERCP), and operative cholangiogram (OC), respectively, on the last three cases. The second patient had an adenocarcinoma arising in the cystic wall associated with peritoneal metastasis. The first two cases were treated by internal drainage and the last three by excision of the cysts and bilioenteric anastomoses. Classification, incidence, etiology, diagnosis, malignization and surgical treatment of biliary cystic disease (BCD) were revised, with the conclusion that resection must be the preferable method of treatment, when possible, especially due to the concern of malignization.
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spelling doaj.art-b61ffc9265704f78955e5ab3e93780a12022-12-21T18:41:55ZengSociedade Brasileira para o Desenvolvimento da Pesquisa em CirurgiaActa Cirúrgica Brasileira0102-86502000-12-0115424324710.1590/S0102-86502000000400009Cystic dilatation of the common bile duct in adults: report of five cases and review of literaturePedro Carlos Loureiro de Arruda0Antonio Roberto de Barros Coelho1José Falcão Corrêa Lima Filho2Ricardo José Caldas Machado3Ayrton Ponce de Souza4Carlos Augusto de Carvalho Mathias5Álvaro Antônio Bandeira Ferraz6Edmundo Machado Ferraz7Universidade Federal de PernambucoUniversidade Federal de PernambucoUniversidade Federal de PernambucoUniversidade Federal de PernambucoUniversidade Federal de PernambucoUniversidade Federal de PernambucoUniversidade Federal de PernambucoUniversidade Federal de PernambucoThe authors report five cases of cystic dilatation of the common bile duct Type I (Todani’s classification) in adults patients, in Division of General Surgery of a University Hospital, treated over a- 25-year- period from 1974 to 1999, among 16.057 operations, and not previously published. Diagnosis was obtained by operative cholangiogram (OC) in the first case, percutaneous transhepatic cholangiogram on the second one (PTHC) and by ultrasonography (US), endoscopic retrograde cholangiopancreatography (ERCP), and operative cholangiogram (OC), respectively, on the last three cases. The second patient had an adenocarcinoma arising in the cystic wall associated with peritoneal metastasis. The first two cases were treated by internal drainage and the last three by excision of the cysts and bilioenteric anastomoses. Classification, incidence, etiology, diagnosis, malignization and surgical treatment of biliary cystic disease (BCD) were revised, with the conclusion that resection must be the preferable method of treatment, when possible, especially due to the concern of malignization.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502000000400009&tlng=enCommon bile ductAdultClassificationDiagnosis
spellingShingle Pedro Carlos Loureiro de Arruda
Antonio Roberto de Barros Coelho
José Falcão Corrêa Lima Filho
Ricardo José Caldas Machado
Ayrton Ponce de Souza
Carlos Augusto de Carvalho Mathias
Álvaro Antônio Bandeira Ferraz
Edmundo Machado Ferraz
Cystic dilatation of the common bile duct in adults: report of five cases and review of literature
Acta Cirúrgica Brasileira
Common bile duct
Adult
Classification
Diagnosis
title Cystic dilatation of the common bile duct in adults: report of five cases and review of literature
title_full Cystic dilatation of the common bile duct in adults: report of five cases and review of literature
title_fullStr Cystic dilatation of the common bile duct in adults: report of five cases and review of literature
title_full_unstemmed Cystic dilatation of the common bile duct in adults: report of five cases and review of literature
title_short Cystic dilatation of the common bile duct in adults: report of five cases and review of literature
title_sort cystic dilatation of the common bile duct in adults report of five cases and review of literature
topic Common bile duct
Adult
Classification
Diagnosis
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-86502000000400009&tlng=en
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