Izvorni znanstveni članak
Early Cancer in Congenital Choledochal Cyst
Ivan Kraus
Milivoj Rubinić
Miljenko Uravić
Dražen Kovač
Nada Brnčić
Denis Kraus
Božidar Vojniković
Sažetak
We report a case of 35-yr-old woman with early cancer in congenital choledochal cyst.
She had a five-year history of intermittent right upper abdominal pain and intermittent
jaundice. In this period she had a few abdominal ultrasonographies, but the cholelithiasis
had not been found. Now, she was admitted to our hospital because she felt right
upper abdominal pain with slight jaundice and subfebrile temperatue four weeks ago.
Abdominal ultrasonography showed enormous dilatation of the common bile duct, which
was suspected as choledochal cyst. Computed tomography and endoscopic retrograde
cholangiopancreatography revealed cystic dilatation of extrahepatic bile duct. An anomalous
pancreaticobiliary junction was not found. The patient with congenital choledochal
cyst was operated on. The excision of choledochal cyst was done with hepaticojejunostomy
Roux-en-Y. There were no lymph nodes metastases. On the central part of
choledochal cysts mucosa, it was shown a white plain area of thickness 0.3 cm and 0.8 cm
in diameter. Histologically it was well-differentiated tubular adenocarcinoma, which
was limited to the mucosa and which did not penetrate to other parts of the bile duct
wall. From our knowledge, only small number cases of early cholangiocarcinoma in
choledochal cyst were until now reported. Nearly eight years after the operation the patient
feels very well, and has optimal working ability (Karnofsky 100%).
Ključne riječi
congenital choledochal cyst; cholangiocarcinoma; case report
Hrčak ID:
28179
URI
Datum izdavanja:
15.12.2003.
Posjeta: 1.323 *