CHOLEDOCAL CYST Pada DEWASA: PERAN ULTRASONOGRAFI
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Priska Valinia K(1*)
RSUD Lewoleba
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Indira Prawita M(2)
RSUD Lewoleba
(*) Corresponding Author
Abstract
Choledocal cyst (CC) is a rare congenital cystic dilatation of bile duct. The etiology is unknown, and likely multifactorial and it is uncertain whether they are congenital or acquired. Ultrasonography is initial imaging which can be used to evaluate biliary system. We report 43 year old female presented with icteric for 3 months. She had dark-color urine and white stool. She didn’t complain about abdominal pain or palpable mass in her abdomen.We performed ultrasonography and found dilatation of common bile duct for ± 7.4 cm. Gall bladder and another intrahepatic structures were normal. The patient was referred to digestive surgeon in adequate facility. Conclusion: Ultrasonography is initial and non-invasive imaging for viewing biliary system. Early detection and management can prevent morbidity and improve patient’s quality of life.
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References
2. Lee KF, Lai ECH, Lai PBS. Adult Choledochal Cyst. Asian J Surg. 2005 Jan 1;28(1):29–33.
3. Wiseman K, Buczkowski AK, Chung SW, Francoeur J, Schaeffer D, Scudamore CH. Epidemiology, presentation, diagnosis, and outcomes of choledochal cysts in adults in an urban environment. Am J Surg. 2005 May 1;189(5):527–31.
4. Huang CS, Huang CC, Chen DF. Choledochal Cysts: Differences Between Pediatric and Adult Patients. J Gastrointest Surg. 2010 Jul 1;14(7):1105–10.
5. Madadi-Sanjani O, Wirth TC, Kuebler JF, Petersen C, Ure BM. Choledochal Cyst and Malignancy: A Plea for Lifelong Follow-Up. Eur J Pediatr Surg. 2019 Apr;29(2):143–9.
6. Singham J, Yoshida EM, Scudamore CH. Choledochal cysts. Can J Surg. 2009 Oct;52(5):434–40.
7. Todani T. Congenital choledochal dilatation: Classification, clinical features, and long-term results. J Hepatobiliary Pancreat Surg. 1997 Sep 1;4(3):276–82.
8. Souza LRMF de, Rodrigues FB, Tostes LV, Barreto GB, Cardoso MS. Imaging evaluation of congenital cystic lesions of the biliary tract. Radiol Bras. 2012 Apr;45:113–7.
9. Sallahu F, Hasani A, Limani D, Shabani S, Beka F, Zatriqi S, et al. Choledochal Cyst – Presentation and Treatment in an Adult. Acta Inform Medica. 2013;21(2):138–9.
10. Singham J, Schaeffer D, Yoshida E, Scudamore C. Choledochal cysts: analysis of disease pattern and optimal treatment in adult and paediatric patients. HPB. 2007 Oct 1;9(5):383–7.
11. Xiao J, Chen M, Hong T, Qu Q, Li B, Liu W, et al. Surgical Management and Prognosis of Congenital Choledochal Cysts in Adults: A Single Asian Center Cohort of 69 Cases. J Oncol. 2022 Jan 21;2022:9930710.
12. Todani T, Tabuchi K, Watanabe Y, Kobayashi T. Carcinoma arising in the wall of congenital bile duct cysts. Cancer. 1979;44(3):1134–41.
13. Liu C-L, Fan S-T, Lo C-M, Lam C-M, Poon RT-P, Wong J. Choledochal Cysts in Adults. Arch Surg. 2002 Apr 1;137(4):465–8.
14. Kobayashi S, Ohnuma N, Yoshida H, Ohtsuka Y, Terui K, Asano T, et al. Preferable operative age of choledochal dilation types to prevent patients with pancreaticobiliary maljunction from developing biliary tract carcinogenesis. Surgery. 2006 Jan 1;139(1):33–8.
15. Hosokawa T, Hosokawa M, Shibuki S, Tanami Y, Sato Y, Ishimaru T, et al. Role of ultrasound in follow-up after choledochal cyst surgery. J Med Ultrason. 2021 Jan 1;48(1):21–9.
16. Lewis VA, Adam SZ, Nikolaidis P, Wood C, Wu JG, Yaghmai V, et al. Imaging of choledochal cysts. Abdom Imaging. 2015 Aug 1;40(6):1567–80.
17. Yu P, Dong N, Pan YK, Li L. Ultrasonography is useful in differentiating between cystic biliary atresia and choledochal cyst. Pediatr Surg Int. 2021 Jun 1;37(6):731–6.
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