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Revista chilena de pediatría

versión impresa ISSN 0370-4106


LOPEZ RUIZ, Rocío; AGUILERA ALONSO, David; MUNOZ AGUILAR, Gemma  y  FONSECA MARTIN, Rosa. Bile duct cysts; an unusual cause of jaundice in paediatrics: Presentation of a case series. Rev. chil. pediatr. [online]. 2016, vol.87, n.2, pp.137-142. ISSN 0370-4106.

Introduction Cysts of the bile duct or choledochal cysts are rare diseases in our area. The aetiology is unknown, with the most accepted hypothesis being a pancreatobiliary maljunction anomaly. Objective To analyse the clinical data, diagnosis and treatment of a number of patients with choledochal cyst, as well as presenting an update on this condition. Method A retrospective descriptive study was performed on paediatric patients diagnosed with choledochal cyst in the last 20 years in a tertiary hospital. Case reports A total of 4 choledochal cyst cases in childhood, predominantly female, are pre- sented. The most frequent reason for consultation was vomiting, and presenting with jaundice and choluria in all cases. Patients with choledochal cyst were classified as type I in 3 cases, and one case of type IVa. In all cases surgical treatment was performed; any patient had complications to date. Conclusions Cysts of the bile ducts have a low prevalence. The treatment of choice is surgical, requiring close monitoring due to the risk of cholangiocarcinoma.

Palabras clave : Choledochal cyst; Cyst bile duct. Jaundice; Cholangiocarcinoma..

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