Malignant Degeneration and Hepatic Metastasis Related to Choledochal Cyst with Internal Drainage Procedure: a Case Report.
- Author:
Moonjong JI
1
;
Hyukjin YOON
;
Shinyong KANG
;
Jinyoung PARK
Author Information
1. Department of Surgery, School of Medicine, Kyungpook National University, Taegu, Korea. kpnugs@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
Choledochal cyst;
Malignant degeneration
- MeSH:
Abdominal Pain;
Adenocarcinoma;
Biopsy;
Choledochal Cyst*;
Diagnosis;
Drainage*;
Duodenum;
Fever;
Follow-Up Studies;
Gastric Bypass;
Hepatic Insufficiency;
Inflammation;
Liver;
Nausea;
Neoplasm Metastasis*;
Tomography, X-Ray Computed;
Ultrasonography;
Urinary Bladder Calculi;
Vomiting
- From:Journal of the Korean Association of Pediatric Surgeons
2005;11(2):186-191
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 10-year-old-girl who underwent Roux-en-Y cystojejunostomy under the diagnosis of choledochal cyst at another hospital at the age of 3 months was referred to our hospital due to abdominal pain. Abdominal ultrasonography (USG) and computed tomography (CT) showed the type I choledochal cyst and multiple gall bladder stones. Severe inflammation and adhesion made difficulty of radical resection and only partial resection of choledochal cyst with Roux-en-Y hepaticojejunostomy could be performed. She complained of intermittent abdominal pain, fever, nausea and vomiting 2 1/2 years after the second operation. Follow-up abdominal CT scan showed the polypoid nodular lesion in the remnant choledochal cyst and suspicious metastatic lesion in the segment 7 of the liver. The duodenum was obstructed by the mass arising from the remnant choledochal cyst. The USG-guided liver biopsy revealed the moderately differentiated adenocarcinoma. A secondary palliative gastrojejunostomy was performed to relieve the obstruction of duodenum. She died of hepatic insufficiency 4 months later of third operation.
