Yang J, Xiao GF, Li YX. Open surgical treatment of choledochocele: A case report and review of literature. World J Clin Cases 2018; 6(14): 842-846 [PMID: 30510953 DOI: 10.12998/wjcc.v6.i14.842]
Corresponding Author of This Article
Yi-Xiong Li, MD, Chief Doctor, Department of Biliopancreatic Surgery, Xiangya Hospital, Central South University, 87 Xiangya Road, Changsha 410008, Hunan Province, China. lyx2011@csu.edu.cn
Research Domain of This Article
Medicine, Research & Experimental
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Nov 26, 2018; 6(14): 842-846 Published online Nov 26, 2018. doi: 10.12998/wjcc.v6.i14.842
Open surgical treatment of choledochocele: A case report and review of literature
Jie Yang, Guang-Fa Xiao, Yi-Xiong Li
Jie Yang, Guang-Fa Xiao, Yi-Xiong Li, Department of Biliopancreatic Surgery, Xiangya Hospital, Central South University, Changsha 410008, Hunan Province, China
Author contributions: Li YX designed the report; Yang J and Xiao GF collected the patient’s clinical data and wrote the paper.
Informed consent statement: Consent was obtained from the patient’s relatives for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Yi-Xiong Li, MD, Chief Doctor, Department of Biliopancreatic Surgery, Xiangya Hospital, Central South University, 87 Xiangya Road, Changsha 410008, Hunan Province, China. lyx2011@csu.edu.cn
Telephone: +86-731-89753009 Fax: +86-731-84327332
Received: September 10, 2018 Peer-review started: September 10, 2018 First decision: October 11, 2018 Revised: October 16, 2018 Accepted: October 23, 2018 Article in press: October 23, 2018 Published online: November 26, 2018 Processing time: 78 Days and 5.6 Hours
Abstract
Choledochocele (also known as type III choledochal cyst according to Todani’s classification) is a cystic dilation of the distal segment of the common bile duct protruding into the duodenal lumen. Cases are rare and the etiology remains unclear. It is usually misdiagnosed as peptic ulcer, as in the patient whose case is described here. Multislice spiral computed tomography and magnetic resonance cholangiopancreatography may be comparable to endoscopic retrograde cholangiography for diagnosis of choledochocele. Both endoscopic therapy and open surgical management are safe options, and size of the cyst plays a role in the decision-making for which approach to apply. A 50-year-old woman admitted to our hospital with upper abdominal pain caused by choledochocele with large size was successfully treated by open surgical management. We present the details of her case in this case report and discuss the recent literature on such cases and their therapeutic management.
Core tip: Choledochocele, also known as the type III choledochal cyst according to Todani’s classification, is a rare disease. We present the case of an adult female with a large-size choledochocele that was successfully treated by open surgery. We also provide a detailed discussion of the recent literature on such cases and their therapeutic management.
