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Choledochal cyst with large stone cast and portal hypertension

查看全文 作  者:Shivendra [1]Singh;Laxman Singh [1]Kheria;Sunil [2]Puri;Amrinder S [3]Puri;Anil K [1]Agarwal 高影响力作者 机构地区:[1]Departments of Gastrointestinal Surgery GB Pant Hospital & Maulana Azad Medical College;[2]Radiodiagnosis GB Pant Hospital & Maulana Azad Medical College;[3]Gastroenterology GB Pant Hospital & Maulana Azad Medical College高影响力机构 出  处:《Hepatobiliary & Pancreatic Diseases International》索引2009年第8卷第6期,共3页高影响力期刊 摘  要:BACKGROUND:Choledochal cysts in adults are more commonly associated with complications such as cystolithiasis,recurrent cholangitis,portal hypertension and malignancy,than in the pediatric age group.METHOD:We report a case of adult choledochal cyst with long-term complication of large stone cast and portal hypertension due to secondary biliary cirrhosis.RESULTS:A 50-year-old patient presented with obstructive jaundice and hepatosplenomegaly.On investigation,she was diagnosed as having a choledochal cyst with large stone cast and portal hypertension.Single stage resection of the choledochal cyst with Roux-en-Y hepaticojejunostomy was done by meticulous dissection and ligation of collaterals.CONCLUSION:Single stage resection of a choledochal cyst is possible in spite of associated portal hypertension,if the portal vein is patent. 关 键 词:choledochal CYST cystolithiasis PORTAL HYPERTENSION
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