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
ARTICLE HIGHLIGHTS
Case characteristics
A 50-year-old woman with upper abdominal pain lasting for more than 10 year.
Clinical diagnosis
Choledochocele.
Laboratory diagnosis
No positive laboratory test results were found.
Imaging diagnosis
A 3.0 cm-long, 1.5 cm-wide cystic lesion at the junction of the descending and horizontal portion of the duodenum.
Pathological diagnosis
Duodenal mucosa with regional low-grade intraepithelial neoplasia inside the choledochocele.
Treatment
Open surgical management involving cyst excision with sphincteroplasty.
Related reports
Choledochocele is considered a rare disease, and cases are seldom reported.
Term explanation
Choledochocele, also known as the 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, and accounts for < 2% of all reported cases of choledochal cyst.
Experiences and lessons
Choledochocele is a rare disease and usually misdiagnosed as peptic ulcer. For the choledochocele with large size (i.e., > 3 cm in diameter), we suggest treatment with open surgical management, according to our case’s successful outcome.
