eMedicine Specialties > Gastroenterology > Biliary
Choledochal Cysts: Multimedia
Updated: Nov 10, 2009
Multimedia
![]() | Media file 1: Operative specimen of type I choledochal cyst. |
![]() | Media file 2: Type I choledochal cyst. |
![]() | Media file 3: Type II choledochal cyst. |
![]() | Media file 4: Type III choledochal cyst (choledochocele). |
![]() | Media file 5: Type IV choledochal cyst (extrahepatic and intrahepatic disease). |
![]() | Media file 6: Type V choledochal cyst (intrahepatic, Caroli disease). |
![]() | Media file 7: Nuclear medicine scan of choledochal cyst. |
![]() | Media file 8: Nuclear medicine scan of choledochal cyst. |
![]() | Media file 9: Nuclear medicine scan of choledochal cyst. |
![]() | Media file 10: Computed tomography (CT) scan of choledochal cyst demonstrating intrahepatic extension involving the main left hepatic duct. |
![]() | Media file 11: Computed tomography (CT) scan of choledochal cyst involving the common hepatic duct. |
![]() | Media file 12: Computed tomography (CT) scan demonstrating large choledochal cyst and adjacent gall bladder. |
![]() | Media file 13: Computed tomography (CT) scan of large, saccular type I choledochal cyst. |
![]() | Media file 14: Diagnostic ultrasonogram demonstrating type I choledochal cyst in a 4-month-old child presenting with hyperbilirubinemia and transaminase elevations. |
![]() | Media file 15: Intraoperative cholangiogram of type I choledochal cyst. |
![]() | Media file 16: Roux-en-Y hepaticojejunostomy to restore biliary-enteric continuity following resection of choledochal cyst. |
More on Choledochal Cysts |
| Overview: Choledochal Cysts |
| Differential Diagnoses & Workup: Choledochal Cysts |
| Treatment & Medication: Choledochal Cysts |
| Follow-up: Choledochal Cysts |
Multimedia: Choledochal Cysts |
| References |
| Further Reading |
| « Previous Page |
References
Douglas AH. Case of dilatation of the common bile duct. Monthly J M Sci (London). 1852;14:97.
Shah OJ, Shera AH, Zargar SA, Shah P, Robbani I, Dhar S, et al. Choledochal cysts in children and adults with contrasting profiles: 11-year experience at a tertiary care center in Kashmir. World J Surg. Nov 2009;33(11):2403-11. [Medline].
Singham J, Yoshida EM, Scudamore CH. Choledochal cysts: part 1 of 3: classification and pathogenesis. Can J Surg. Oct 2009;52(5):434-40. [Medline]. [Full Text].
Miyano T, Yamataka A. Choledochal cysts. Curr Opin Pediatr. Jun 1997;9(3):283-8. [Medline].
Wu GS, Zou SQ, Luo XW, Wu JH, Liu ZR. Proliferative activity of bile from congenital choledochal cyst patients. World J Gastroenterol. Jan 2003;9(1):184-7. [Medline].
Chen CP, Cheng SJ, Chang TY, Yeh LF, Lin YH, Wang W. Prenatal diagnosis of choledochal cyst using ultrasound and magnetic resonance imaging. Ultrasound Obstet Gynecol. Jan 2004;23(1):93-4. [Medline].
Sgro M, Rossetti S, Barozzino T, Toi A, Langer J, Harris PC, et al. Caroli's disease: prenatal diagnosis, postnatal outcome and genetic analysis. Ultrasound Obstet Gynecol. Jan 2004;23(1):73-6. [Medline].
Yu ZL, Zhang LJ, Fu JZ, Li J, Zhang QY, Chen FL. Anomalous pancreaticobiliary junction: image analysis and treatment principles. Hepatobiliary Pancreat Dis Int. Feb 2004;3(1):136-9. [Medline].
Fitoz S, Erden A, Boruban S. Magnetic resonance cholangiopancreatography of biliary system abnormalities in children. Clin Imaging. Mar-Apr 2007;31(2):93-101. [Medline].
Nagi B, Kochhar R, Bhasin D, Singh K. Endoscopic retrograde cholangiopancreatography in the evaluation of anomalous junction of the pancreaticobiliary duct and related disorders. Abdom Imaging. Nov-Dec 2003;28(6):847-52. [Medline].
Jordan PH Jr, Goss JA Jr, Rosenberg WR, Woods KL. Some considerations for management of choledochal cysts. Am J Surg. Jun 2004;187(6):790-5. [Medline].
Edil BH, Olino K, Cameron JL. The current management of choledochal cysts. Adv Surg. 2009;43:221-32. [Medline].
Visser BC, Suh I, Way LW, Kang SM. Congenital choledochal cysts in adults. Arch Surg. Aug 2004;139(8):855-60; discussion 860-2. [Medline].
Shimotakahara A, Yamataka A, Yanai T, Kobayashi H, Okazaki T, Lane GJ, et al. Roux-en-Y hepaticojejunostomy or hepaticoduodenostomy for biliary reconstruction during the surgical treatment of choledochal cyst: which is better?. Pediatr Surg Int. Jan 2005;5-7.:21(1). [Medline].
Lee H, Hirose S, Bratton B, Farmer D. Initial experience with complex laparoscopic biliary surgery in children: biliary atresia and choledochal cyst. J Pediatr Surg. Jun 2004;39(6):804-7; discussion 804-7. [Medline].
Jang JY, Kim SW, Han HS, Yoon YS, Han SS, Park YH. Totally laparoscopic management of choledochal cysts using a four-hole method. Surg Endosc. Nov 2006;20(11):1762-5.
Woo R, Le D, Albanese CT, Kim SS. Robot-assisted laparoscopic resection of a type I choledochal cyst in a child. J Laparoendosc Adv Surg Tech A. Apr 2006;16(2):179-83. [Medline].
Lee SC, Kim HY, Jung SE, Park KW, Kim WK. Is excision of a choledochal cyst in the neonatal period necessary?. J Pediatr Surg. Dec 2006;41(12):1984-6. [Medline].
Woon CY, Tan YM, Oei CL, Chung AY, Chow PK, Ooi LL. Adult choledochal cysts: an audit of surgical management. ANZ J Surg. Nov 2006;76(11):981-6. [Medline].
Ahn SM, Jun JY, Lee WJ, Oh JT, Han SJ, Choi SH, et al. Laparoscopic total intracorporeal correction of choledochal cyst in pediatric population. J Laparoendosc Adv Surg Tech A. Oct 2009;19(5):683-6. [Medline].
Chijiiwa K, Koga A. Surgical management and long-term follow-up of patients with choledochal cysts. Am J Surg. Feb 1993;165(2):238-42. [Medline].
Dundas SE, Robinson-Bridgewater LA, Duncan ND. Antenatal diagnosis of a choledochal cyst. Case management and literature review. West Indian Med J. Sep 2002;51(3):184-7. [Medline].
Fieber SS, Nance FC. Choledochal cyst and neoplasm: a comprehensive review of 106 cases and presentation of two original cases. Am Surg. Nov 1997;63(11):982-7. [Medline].
Gallivan EK, Crombleholme TM, D'Alton ME. Early prenatal diagnosis of choledochal cyst. Prenat Diagn. Oct 1996;16(10):934-7. [Medline].
Hernandez Bartolome MA, Fuerte Ruiz S, Manzanedo Romero I, Ramos Lojo B, Rodriguez Prieto I, Gimenez Alvira L, et al. Biliary cystadenoma. World J Gastroenterol. Jul 28 2009;15(28):3573-5. [Medline].
Hewitt PM, Krige JE, Bornman PC, Terblanche J. Choledochal cysts in adults. Br J Surg. Mar 1995;82(3):382-5. [Medline].
Ishibashi T, Kasahara K, Yasuda Y, Nagai H, Makino S, Kanazawa K. Malignant change in the biliary tract after excision of choledochal cyst. Br J Surg. Dec 1997;84(12):1687-91. [Medline].
Kubota H, Eckelman WC, Poulose KP, Reba RC. Technetium-99m-pyridoxylideneglutamate, a new agent for gallbladder imaging: comparison with 131I-rose bengal. J Nucl Med. Jan 1976;17(1):36-9. [Medline].
Lindberg CG, Hammarstrom LE, Holmin T, Lundstedt C. Cholangiographic appearance of bile-duct cysts. Abdom Imaging. Nov-Dec 1998;23(6):611-5. [Medline].
Rabie ME, Al-Humayed SM, Hosni MH, Katwah RA, Dewan M. Choledochocele: the disputed origin. Int Surg. Oct-Dec 2002;87(4):221-5. [Medline].
Rha SY, Stovroff MC, Glick PL, Allen JE, Ricketts RR. Choledochal cysts: a ten year experience. Am Surg. Jan 1996;62(1):30-4. [Medline].
Saing H, Han H, Chan KL, Lam W, Chan FL, Cheng W, et al. Early and late results of excision of choledochal cysts. J Pediatr Surg. Nov 1997;32(11):1563-6. [Medline].
Schultz RM. The potential role of cytokines in cancer therapy. Prog Drug Res. 1992;39:219-50. [Medline].
Stringer MD, Dhawan A, Davenport M, Mieli-Vergani G, Mowat AP, Howard ER. Choledochal cysts: lessons from a 20 year experience. Arch Dis Child. Dec 1995;73(6):528-31. [Medline].
Weyant MJ, Maluccio MA, Bertagnolli MM, Daly JM. Choledochal cysts in adults: a report of two cases and review of the literature. Am J Gastroenterol. Dec 1998;93(12):2580-3. [Medline].
Yamataka A, Ohshiro K, Okada Y, Hosoda Y, Fujiwara T, Kohno S, et al. Complications after cyst excision with hepaticoenterostomy for choledochal cysts and their surgical management in children versus adults. J Pediatr Surg. Jul 1997;32(7):1097-102. [Medline].
Further Reading
Clinical guideline
ASGE guideline: the role of ERCP in diseases of the biliary tract and the pancreas.
American Society for Gastrointestinal Endoscopy - Medical Specialty Society. 2005 Jul. 8 pages. NGC:004486
Related eMedicine topics
Choledochal Cyst (Radiology)
Choledochal Cyst, Surgical Treatment (Pediatrics: Surgery)
Cholestasis
Gallbladder Disease
Caroli Disease
Keywords
choledochal cyst, bile duct, jaundice, bile duct cysts, bile ducts, biliary tree, Caroli disease, choledochal cysts, congenital bile duct anomalies, extrahepatic biliary radicles, intrahepatic biliary radicles, upper abdominal mass, choledochocele, acholic stools
































Multimedia: Choledochal Cysts