Acta clinica Croatica, Vol. 56. No. 2., 2017.
Other
https://doi.org/10.20471/acc.2017.56.02.20
What is the Right Therapeutic Approach to Biliary Choledochal Cyst?
Marinko Marušić
orcid.org/0000-0002-1552-1832
; Clinical Department of Internal Medicine; School of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Anto Dominković
; Clinical Department of Internal Medicine
Željka Belošić Halle
; Clinical Department of Internal Medicine; School of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Rosana Troskot Perić
; Clinical Department of Internal Medicine; School of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Ivan Zoričić
; Clinical Department of Surgery, Sveti Duh University Hospital, Zagreb; School of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Darko Vukušić
; Clinical Department of Surgery, Sveti Duh University Hospital, Zagreb
Ana Marija Liberati Čizmek
; Clinical Department of Internal Medicine
Abstract
We report a case of biliary cyst type II which, independently of its a priori benign nature, caused numerous complications such as recurrent cholangitis and pancreatitis, as well as subsequent hepatic fibrosis and the potential danger of choledochocele perforation. Although they are benign, biliary/choledochal cysts can cause numerous disorders such as cholestasis, leading to cholangitis and pancreatitis and biliary sepsis, and due to chronic inflammation of the biliary system even cholangiocarcinogenesis. Our findings showed that sometimes this type of biliary cyst (according to the available literature the rarest and most benign type), as well as type I cyst, should undergo timely radical excision. In our patient, timely choledochocele resection would have certainly contributed to the reduction of subsequent complications, as well as to obviating repeated invasive diagnostic and surgical procedures.
Keywords
Biliary tract diseases – therapy; Cholangitis; Pancreatitis; Bile ducts – surgery; Case reports
Hrčak ID:
186488
URI
Publication date:
1.6.2017.
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