Choledochocele: A Case Report and Discussion of Diagnosis Criteria
Abstract A 6-year-old girl presented with intermittent abdominal pain, without jaundice and a palpable mass in the epigastrium. Preoperative imaging and upper endoscopy suggested duodenal duplication. During surgery, the patient was diagnosed with a rare type of choledochal cyst—choledochocele (type...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Georg Thieme Verlag KG
2015-09-01
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| Series: | European Journal of Pediatric Surgery Reports |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0035-1563601 |
| _version_ | 1818501666756886528 |
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| author | Linlin Zhu Zhibao Lv Jiangbin Liu Weijue Xu |
| author_facet | Linlin Zhu Zhibao Lv Jiangbin Liu Weijue Xu |
| author_sort | Linlin Zhu |
| collection | DOAJ |
| description | Abstract
A 6-year-old girl presented with intermittent abdominal pain, without jaundice and a palpable mass in the epigastrium. Preoperative imaging and upper endoscopy suggested duodenal duplication. During surgery, the patient was diagnosed with a rare type of choledochal cyst—choledochocele (type 3b). The authors emphasize that, in children, choledochocele should be included in the differential diagnosis of cystic lesions located in the duodenal area and the head of the pancreas area, regardless of jaundice or abnormal liver function. Since mucosal histology showing duodenal mucosa did not match the final diagnosis, we suggest that three criteria should be met for the diagnosis of a choledochocele to be diagnosed: (1) a cyst protruding into the duodenal lumen; (2) filling with contrast during cholangiography and (3) a filling defect on X-ray barium meal. |
| first_indexed | 2024-12-10T20:59:25Z |
| format | Article |
| id | doaj.art-e763650f9d8b47db8e9fdfeacb469feb |
| institution | Directory Open Access Journal |
| issn | 2194-7619 2194-7627 |
| language | English |
| last_indexed | 2024-12-10T20:59:25Z |
| publishDate | 2015-09-01 |
| publisher | Georg Thieme Verlag KG |
| record_format | Article |
| series | European Journal of Pediatric Surgery Reports |
| spelling | doaj.art-e763650f9d8b47db8e9fdfeacb469feb2022-12-22T01:33:51ZengGeorg Thieme Verlag KGEuropean Journal of Pediatric Surgery Reports2194-76192194-76272015-09-01030208508910.1055/s-0035-1563601Choledochocele: A Case Report and Discussion of Diagnosis CriteriaLinlin Zhu0Zhibao Lv1Jiangbin Liu2Weijue Xu3Department of Surgery, Children's Hospital of Shanghai Jiaotong University, Shanghai, ChinaDepartment of Surgery, Children's Hospital of Shanghai Jiaotong University, Shanghai, ChinaDepartment of Surgery, Children's Hospital of Shanghai Jiaotong University, Shanghai, ChinaDepartment of Surgery, Children's Hospital of Shanghai Jiaotong University, Shanghai, ChinaAbstract A 6-year-old girl presented with intermittent abdominal pain, without jaundice and a palpable mass in the epigastrium. Preoperative imaging and upper endoscopy suggested duodenal duplication. During surgery, the patient was diagnosed with a rare type of choledochal cyst—choledochocele (type 3b). The authors emphasize that, in children, choledochocele should be included in the differential diagnosis of cystic lesions located in the duodenal area and the head of the pancreas area, regardless of jaundice or abnormal liver function. Since mucosal histology showing duodenal mucosa did not match the final diagnosis, we suggest that three criteria should be met for the diagnosis of a choledochocele to be diagnosed: (1) a cyst protruding into the duodenal lumen; (2) filling with contrast during cholangiography and (3) a filling defect on X-ray barium meal.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0035-1563601choledochoceleduodenal duplicationradiologic criteria |
| spellingShingle | Linlin Zhu Zhibao Lv Jiangbin Liu Weijue Xu Choledochocele: A Case Report and Discussion of Diagnosis Criteria European Journal of Pediatric Surgery Reports choledochocele duodenal duplication radiologic criteria |
| title | Choledochocele: A Case Report and Discussion of Diagnosis Criteria |
| title_full | Choledochocele: A Case Report and Discussion of Diagnosis Criteria |
| title_fullStr | Choledochocele: A Case Report and Discussion of Diagnosis Criteria |
| title_full_unstemmed | Choledochocele: A Case Report and Discussion of Diagnosis Criteria |
| title_short | Choledochocele: A Case Report and Discussion of Diagnosis Criteria |
| title_sort | choledochocele a case report and discussion of diagnosis criteria |
| topic | choledochocele duodenal duplication radiologic criteria |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0035-1563601 |
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