Choledochal cyst: a future indication for peroral choledochoscopy?

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Choledochal cyst: a future indication for peroral choledochoscopy?

A 31-year-old man with no medical history was admitted to the emergency department following 3 days of abdominal pain and jaundice. The laboratory workup revealed elevated levels of bilirubin (9.2mg/dL; direct 6.5mg/dL) and C-reactive protein (30mg/dL). Transabdominal ultrasound showed dilatation of the common bile duct (10mm), thickened gallbladder wall with sludge, but no evidence of choledoc...

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Electrohydraulic lithotripsy with peroral choledochoscopy.

OBJECTIVE To determine the efficacy of peroral electrohydraulic lithotripsy performed with an extra large duodenoscope (outside diameter 14.8 mm) and a choledochoscope with a diameter of 4.1 mm (Olympus "mother and baby" endoscope system) in the removal of very large stones from the common bile duct. DESIGN Prospective study of patients with giant stones in the common bile duct that were resi...

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Choledochal Cyst

Anatomic Classification Type I, II, and III forms of choledochal cysts were originally described by Alonso-Lej and colleagues. Subsequently, Todani and associates and others have further classified this anomaly into five main types and additional subtypes, based on analyses of cholangiograms. The two relatively common categories of cyst are types I and IV-A. The common varieties are as follows ...

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Pseudopancreatitis and choledochal cyst.

choledocal cysts (1). Although it is considered a congenital illness, 30% of cases are diagnosed in the adult age. Clinical symptoms are quite variable: the classical triad of abdominal pain, jaundice and abdominal mass is exceptional in adult subjects. This disease occasionally presents with epigastric pain, nausea, vomiting, fever, increased blood bilirubin, and increased blood amylase, sugge...

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Choledochal cyst and cholangiocarcinoma.

Carcinoma of the biliary tract is a rare complication of choledochal cysts. 1 ,2 Furthermore, the greater predisposition of the cyst wall to neoplastic change has been cited as additional justification for cyst excision rather than on-site internal drainage as the primary choice of operation. The report concerns a patient who developed cholangiocarcinoma despite excision of a choledochal cyst a...

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ژورنال

عنوان ژورنال: Endoscopy

سال: 2016

ISSN: 0013-726X,1438-8812

DOI: 10.1055/s-0042-118169