الفهرس 
Definition and Epidemiology
Variations of the intrahepatic bile ductsOnly 14 pages are availabe for public view
 |  | from | 16 |  |  |
| | | from | 16 | | |
Abstract
Choledochal cysts are congenital bile duct anomalies
that can involve the extra or intrahepatic biliary radicals. It
may present by jaundice, colicky pain, or palpable right upper
quadrant abdominal mass. The aim of the present study was to
assess the outcomes of different methods of biliary drainage
after excision of the cyst and the most common complications
arising. That study involved the last 5 years from May 2010 to
May 2015, in the pediatric surgery department of Ain Shams
university.
The cases were chosen according to some inclusion
criteria. Cases with associated anomalies were excluded.
Assessment of surgical techniques, complications,
general condition and liver functions tests of patients were
done.
Twenty cases were chosen for this study, within
pediatric age group. The results showed a peak of the anomaly
between 5 & 6 years. Female to male ratio was almost the
double.
Jaundice was the commonest complaint in 65% of cases
followed by abdominal pain in 35% and a triad of jaundice pain and swelling in the right upper quadrant of the body in
15% of cases.
Two cases were totally asymptomatic and accidentally
discovered.
Abdominal ultrasonography was the chief method of
diagnosis & follow up of the choledochal cyst, beside CT and
MRCP. Complete excision of the cyst was done to all patients
except 1 case subjected to partial excision due to adhesions.
The operation was followed by hepatoduodenostomy or
hepatojejunostomy.
Complications occurred in five cases. Four cases
suffered from wound infections. Only one case suffered from
ascending cholangitis, and was managed medically.
The results were discussed and confronted with those of
previous investigators. Recommendations were suggested for
further researches, aiming at better results in treatment and
avoidance of complications by early diagnosis and long follow
up of the patients.