Resumo
Choledochal cyst is a rare congenital malformation of the biliary tree, and aproximately 25% of them are diagnosed in adults. Appropriate surgical management of these lesions depends on the anatomic site and extension of the cystic process. The recognized association of the bile duct cysts with hepatobiliary malignant disease has important surgical implications. Total cyst removal and cholecistectomy with Roux-en- Y hepaticojejunostomy was performed in a 47 year old female with a common bile duct cyst tipe 1 postoperative period was uneventful. A review of literature is presented.
Choledochal cyst; Cysts
Choledochal cyst; Cysts
RELATOS DE CASOS
Cisto de colédoco em adulto
Choledochal cyst in adult
Carlos Iglézias Brandão de Oliveira, TCBC-PII; Raimundo Milton de Sousa Martins, RCBC-PIII; Aderivaldo Coelho de Andrade, RCBC-PIII
IProfessor Adjunto do Departamento de Cirurgia da Universidade Federal do Piauí
IIResidente de Cirurgia Geral do Hospital Getúlio Vargas - PI
Endereço para correspondência Endereço para correspondência: Dr. Aderivaldo Coelho Andrade Rua Dr. Area Leão, 1.079/S 64018-750 - Teresina - PI
ABSTRACT
Choledochal cyst is a rare congenital malformation of the biliary tree, and aproximately 25% of them are diagnosed in adults. Appropriate surgical management of these lesions depends on the anatomic site and extension of the cystic process. The recognized association of the bile duct cysts with hepatobiliary malignant disease has important surgical implications. Total cyst removal and cholecistectomy with Roux-en- Y hepaticojejunostomy was performed in a 47 year old female with a common bile duct cyst tipe 1 postoperative period was uneventful. A review of literature is presented.
Key words: Choledochal cyst; Cysts.
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Full text available only in PDF format.
Recebido em 18/3/99
Aceito para publicação em 9/8/99
Trabalho realizado na Clínica Cirúrgica do Hospital Getúlio Vargas da Universidade Federal do Piauí.
- 1. Alves Jr R, Jader BA. Cisto de colédoco em adulto. Rev Col Bras Cir 1997; 24(3):197-198.
- 2. Miura IK. Doenças fibropolicísticas hepatobiliares na infância. In Marcondęs E: Pediatria Básica. Ed. 8. Vol. 2. Săo Paulo; Sarvier, 1993, p 1.299.
- 3. Todani T, Watanabe Y. Narusue M, et al. Congenital bile duct cysts: Classification, operative procedures, and review of 37 cases including cancer arising from choledochal cyst. Am J Surg 1977; 134:263-269.
- 4. Pinotti W, Cecconello I, Oliveira MA. Anatomia e anomalia do desenvolvimento das vias. In Dani R, Castro LP: Gastroenterologia clínica. Ediçăo 3, Vol. 2, Rio de Janeiro; Guanabara Koogan, 1993; pp 1499-1500.
- 5. Sabbaga CC, Schulz C, Avilla SG, et al. Complicaçőes no tratamento cirúrgico do cisto de colédoco: revisăo de 18 anos. Rev Col Bras Cir 1995; 22(4) 213-216.
Endereço para correspondência:
Datas de Publicação
-
Publicação nesta coleção
24 Nov 2009 -
Data do Fascículo
Out 1999
Histórico
-
Recebido
18 Mar 1999 -
Aceito
09 Ago 1999