Development of Cholangiocarcinoma Arising from Remnant Intrapancreatic Cyst 15 Years after Choledochal Cyst Excision.
10.15279/kpba.2017.22.3.147
- Author:
Hyeung Kyeung LEE
1
;
Kyoung Min LEE
;
Jinyoung KIM
;
Jungsun LEE
;
Soyeon AN
;
Seung Mo HONG
;
Hyun Woo LEE
;
Myung Hwan KIM
Author Information
1. Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Choledochal cyst;
Cholangiocarcinoma;
Pancreatic cyst
- MeSH:
Bile Ducts;
Cholangiocarcinoma*;
Cholecystectomy;
Choledochal Cyst*;
Follow-Up Studies;
Humans;
Pancreatic Cyst
- From:Korean Journal of Pancreas and Biliary Tract
2017;22(3):147-151
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Among complications of choledochal cysts, malignant transformation is most concerning and management of choledochal cyst now includes complete cyst excision, whenever possible. In cases of choledochal cyst associated with pancreaticobiliary maljunction like our case, cholecystectomy along with the resection of dilatated bile duct and the biliary diversion are generally performed. However, incomplete cyst excision can result in malignant transformation within the remnant cyst. We present the case of cholangiocarcinoma arising from remnant intrapancreatic cyst 15 years after choledochal cyst excision in a patient with Todani type 1 choledochal cyst associated with pancreaticobiliary maljunction. We learn from the case that a careful long-term follow-up is needed in patients with choledochal cysts if residual cyst is remained after excision.
