Treatment of Choledocal Cyst after Laparoscopic Cholecistectomy PII: S1590-8658(00)80807-5

Giorgio Coscarella (I), Stefano Msnfroni (2), Francesca Lirosi (I), Agostino Suxzarro (3), Alberto Garavello (2), Nicola Di Lorenzo (l), Alessandro Antonellis (2), Arturi (I), Francesco De Lisa (I), Donato Antonellis

  1. Scuola di Specializzazione
    Digerente ed Endosoopia Digestiva Chirurgica Universitri di Roma 7or Vergata” (Dir. AL. Gaspari)
  2. Dipartimento di Chirurgia Generaie Ospedale di Marino- Roma
  3. Servizio di Gastroenterologia ed Endoscopia Digestiva Ospedale di Marino-Roma.

Congenital dilatation of the exta-hepatic duct system is a very uncommon condition (l/200000 ). it is more common in the far east and its incidence is higher in women than in men.

Treatment of Choledocal Cyst after Laparoscopic Cholecistectomy

We have observed a woman of 42 years old with symptoms of a classic biliary colic, without jaundice or fever.

She referred a previous laparoscopic cholecistectomy and also that during the intervention the surgeons didn’t find tha stone in the gallbladder showed during a pre-op US. Post-operatively an US showsd a dilatation of the choledocus, with a biliary stone, nothing to the intra and extra+epatic ducts, nothing to the pancreas.

The patient was admitted with a suspect of residual choledocic litiasis.

The blood-test we in the range of normality.

The patient were submitted to a ERCP. The procedure demonstrated a dilatation of the choledocus for about 3 cm. with a filling default of the contrast with stone. So the patients was sent to the surgery with a suspect of a cistic dilatation of the choledocus. After opening the biliary duct and cutting a part of the wall to make it homogeneous to the normal one, the last one was sutured without any drainage with Kehr’s tube. The patient was dismitted at the fifh day post-op. After six months, blood test were normal and US didn’t show any pathologic sign.

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