Combined malformation of the biliary tract
A. V. Pisklakov,
D. A. Fedorov,
S. V. Moroz,
V. I. Ponomarev,
A. V. Lysov,
D. A. Shlychkov,
A. Yu. Gorlina https://doi.org/10.21508/1027-4065-2021-66-5-105-108
Abstract
Anomalies in the biliary tract development are a relatively rare pathology in the practice of a pediatric surgeon. A combination of two or more defects of the biliary tract is even less common. The article presents literature data and own clinical observation of a child with a combination of a cyst of the common bile, or hepatic, duct (common bile duct) and an additional bile duct. The anatomical structure of the biliary tract was identified before surgery using magnetic resonance cholangiography. Based on the analysis of literature data and our own observation, we propose an algorithm for diagnostic measures in children with malformations of the biliary tract, which helps to avoid intraoperative injuries.
About the Authors
A. V. Pisklakov
Omsk State Medical University; Regional Children’s Clinical Hospital
Russian Federation
Russian Federation
Omsk
D. A. Fedorov
Regional Children’s Clinical Hospital
Russian Federation
Russian Federation
Omsk
S. V. Moroz
Regional Children’s Clinical Hospital
Russian Federation
Russian Federation
Omsk
V. I. Ponomarev
Omsk State Medical University
Russian Federation
Russian Federation
Omsk
A. V. Lysov
Omsk State Medical University
Russian Federation
Russian Federation
Omsk
D. A. Shlychkov
Regional Children’s Clinical Hospital
Russian Federation
Russian Federation
Omsk
A. Yu. Gorlina
Regional Children’s Clinical Hospital
Russian Federation
Russian Federation
Omsk
References
1. Bhavsar M.S., Vora H.B., Giriyappa V.H. Choledochal cyst: a review of literature. Saudi J Gastroenterol 2012; 18: 230–236. DOI: 10.4103/1319-3767.98425
2. Katabi N., Pillarisetty V.G., DeMatteo R., Klimstra D.S. Choledochal cysts: a clinicopathologic study of 36 cases with emphasis on the morphologic and the immunohistochemical features of premalignant and malignant alterations. Hum Pathol 2014; 45(10): 2107–2114. DOI: 10.1016/j.humpath.2014.06.016
3. Soares K.S., Arnaoutakis D.J., Kamel I., Rastegar N., Anders R., Maithel S. et al. Choledochal cysts: presentation, clinical differentiation, and management. J Am Coll Surg 2014; 219(6): 1167–1180. DOI: 10.1016/j.jamcollsurg.2014.04.023
4. Vasil’ev A.Ju. Magnetic resonance cholangiography in the diagnosis of diseases of the biliary tract. Moscow: Meditsina, 2006; 200. (in Russ.)
5. Lee H.K., Park S.J., Yi B.H., Lee A.L., Moon J.H., Chang Y.W. Imaging features of adult choledochal cysts: a pictorial review. Korean J Radiol 2009; 10: 71–80. DOI: 10.3348/kjr.2009.10.1.71
6. Hung M.H., Lin L.H., Chen D.F., Huang C.S. Choledochal cysts in infants and children: experiences over a 20-year period at a single institution. Eur J Pediatr 2011; 170: 1179–1185. DOI: 10.1007/s00431-011-1429-2
7. Liu S.L., Li L., Hou W.Y., Zhang J., Huang L.M., Li X. et al. Laparoscopic excision of choledochal cyst and Roux-en-Y hepaticojejunostomy in symptomatic neonates. J Pediatr Surg 2009; 44: 508–511. DOI: 10.1016/j.jpedsurg.2008.08.006
8. Edil B.H., Cameron J.L., Reddy S., Lum Y., Lipsett P.A., Nathan H. et al. Choledochal cyst disease in children and adults: a 30-year singleinstitution experience. J Am Coll Surg 2008; 206: 1000–1005. 18471743 DOI: 10.1016/j.jamcollsurg.2007.12.045
9. Ramachandran A., Srivastava D.N., Gupta A.K., Madhusudhan K.S., Ramnarine I.R., Mulpur A.K. et al. The Double Trouble: A Case of Duplicated Extrahepatic Bile Duct with Choledochal Cyst. Indian J Pediatr 2019; 86(2): 186–188. DOI: 10.1007/s12098-018-2790-1
10. Tahara K., Ishimaru Y., Fujino J., Suzuki M., Hatanaka M., Igarashi A. et al. Association of extrahepatic bile duct duplication with pancreaticobiliary maljunction and congenital biliary dilatation in children: a case report and literature review. Surg Today 2013; 43(7): 800–805. DOI: 10.1007/s00595-012-0262-1
11. Prevot F., Rebibo L., Cosse C., Browet F., Sabbagh C., Regimbeau J.M. et al. Effectiveness of intraoperative cholangiography using indocyanine green (versus contrast fluid) for the correct assessment of extrahepatic bile ducts during day-case laparoscopic cholecystectomy. J. Gastrointest Surg 2014; 18(8): 1462–1468. DOI: 10.1007/s11605-014-2560-y
12. Silva-Baez H., Coello-Ramírez P., Ixtabalán-Escalante E.M., Sotelo-Anaya E., Gallo-Morales M., Cordero-Estrada E. et al. Treatment of choledochal cyst in a pediatric population. A single institution experience of 15-years. Case series. Ann Med Surg (Lond) 2015; 21:5: 81–85. DOI 10.1016/j.amsu.2015.12.054
13. Lee H.K., Park S.J., Yi B.H., Lee A.L., Moon J.H., Chang Y.W. Imaging features of adult choledochal cysts: a pictorial review. Korean J Radiol 2009; 10: 71–80. DOI: 10.1259/bjr/70067143
14. Yoon J.H. Magnetic resonance cholangiopancreatography diagnosis of choledochal cyst involving the cystic duct: report of three cases. Br J Radiol 2011; 84(997): 18–22. DOI: 10.1259/bjr/77844300
Review
For citations:
Pisklakov A.V., Fedorov D.A., Moroz S.V., Ponomarev V.I., Lysov A.V., Shlychkov D.A., Gorlina A.Yu. Combined malformation of the biliary tract. Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics). 2021;66(5):105-108. (In Russ.) https://doi.org/10.21508/1027-4065-2021-66-5-105-108
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