The changing presentation of choledochal cyst disease: an incidental diagnosis.
The changing presentation of choledochal cyst disease: an incidental diagnosis.
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DOI：
10.1155/2009/103739
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发表时间：
2009
期刊：
影响因子：
--
通讯作者：
Gamblin TC
中科院分区：
文献类型：
--
作者：
Dhupar R;Gulack B;Geller DA;Marsh JW;Gamblin TC
背景胆总管囊肿是一种罕见的胆道病变。由于影像学和腹腔镜手术的发展，我们试图描述我们过去3年的经验与成人胆总管囊肿的表现和管理。方法.对2005年至2008年间因原发性胆总管囊肿疾病接受治疗的成人前瞻性数据库进行回顾性分析。结果2005年8月至2008年8月，14名成人因原发性胆总管囊肿疾病接受治疗。平均年龄为41岁（17-86岁），79%为女性。临床表现包括胆源性脓毒症（3）、胰腺炎（2）、腹痛（3）或无痛性黄疸（1）。三名患者在腹腔镜胆囊切除术中发现囊肿，两名患者在CT扫描后因不相关问题偶然发现囊肿。囊肿切除者的住院时间为7.8天（范围5-11天）。无手术或术后并发症。结论.在过去的3年中，36%的胆总管囊肿患者是在腹腔镜手术或CT扫描后偶然发现的。腹腔镜检查和CT扫描在腹部疾病中的应用越来越多，导致了表现形式的改变。
Background. Choledochal cysts are uncommon biliary lesions. Due to the evolution of imaging and laparoscopic surgery, we sought to describe our last 3 years experience with the presentation and management of choledochal cysts in adults. Methods. A retrospective review of a prospectively established database of adults who were managed for primary choledochal cyst disease between 2005 and 2008 was performed. Results. Between 8/2005 and 8/2008, 14 adults were managed for primary choledochal cyst disease. The average age was 41 years (range 17–86) and 79% were female. Presentations included biliary sepsis (3), pancreatitis (2), abdominal pain (3), or painless jaundice (1). Three patients had the cyst found during laparoscopic cholecystectomy, and two had an incidental finding after CT scan for an unrelated issue. The length of stay for those who had the cyst removed was 7.8 days (range 5–11). There were no operative or post-operative complications. Conclusions. Over the last 3 years 36% of our patients with choledochal cysts presented after incidental finding, either during a laparoscopic operation or after a CT scan for an unrelated problem. Increasing utilization of laparoscopy and CT scan for abdominal complaints has lead to a change in the pattern of presentation.