Abstract

REYES-GARCIA, María Azucena  and  MARTINEZ-BELLO, Alejandro. Experience in the management of coledochal cyst in a general surgery service. Report of four cases. Cir. gen [online]. 2021, vol.43, n.1, pp.40-46.  Epub Aug 15, 2022. ISSN 1405-0099.  https://doi.org/10.35366/103913.

The choledochal cysts are dilatations of the bile duct that occur mainly in females during childhood, in the adult stage a high index of suspicion is required, especially in rural hospitals where there is no technology to diagnose them. The management can be by endoscopic or surgical approach depending on the classification of the cyst. It is well established that, at an older age during diagnosis, the chances of malignancy are also higher, with up to 30% being reported. Four female patients between 14 and 43 years were included. Three patients were not diagnosed with choledochal cyst of first intention, being diagnosed as hepatic cyst, acute cholecystitis and stenosis of the bile duct. The main symptom was abdominal pain and only one of them had jaundice and palpable mass. Three had type I cyst and one type IV A. All underwent open surgery with resection of the cyst and hepatojejun anastomosis in Roux’s Y. There were no postoperative complications. The histopathological study was negative to malignancy in all cases.

Keywords : Cyst; bile duct; adult.