Multiple stone formation in a remnant choledochal cyst.
- Author:
Hye Young SUNG
1
;
In Seok LEE
;
Yu Kyung CHO
;
Jae Myung PARK
;
Sang Woo KIM
;
Myung Gyu CHOI
;
In Sik CHUNG
Author Information
1. Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea. isle@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Choledochal cyst;
Remnant;
Late complication
- MeSH:
Bile Ducts;
Bile Ducts, Extrahepatic;
Bile Ducts, Intrahepatic;
Cholangitis;
Choledochal Cyst;
Constriction, Pathologic;
Gallbladder;
Pancreas
- From:Korean Journal of Medicine
2009;77(2):227-231
- CountryRepublic of Korea
- Language:English
-
Abstract:
The recommended surgical method for treating congenital biliary dilation is excision of the entire extrahepatic bile duct, with a hepaticoenterostomy to stop reflux and stasis of pancreatic secretions in the gallbladder and dilated bile duct. Late complications of surgical treatment include anastomotic strictures, cholangitis, and stone formation in the intrahepatic bile ducts. This report describes a very rare late complication, in which protein stones formed in a remnant choledochal cyst in the pancreas 23 years after resection of a congenital choledochal cyst. Our case highlights the necessity for complete cyst resection as close as possible to the portion buried in the pancreatic bed at the time of primary choledochal cyst resection.
