caa a22 4500 465771726 CHVBK 20180323111930.0 cr unu---uuuuu 170327e19900101xx s 000 0 eng 10.1007/BF00179633 doi (NATIONALLICENCE)springer-10.1007/BF00179633 Choledochocele: an unusual form of choledochal cyst [Elektronische Daten] [Peter Manning, Theodore Polley Jr., Keith Oldham] Choledochocele, or type III choledochal cyst, is a rare anomaly. Two children with choledochocele, both younger than any previously reported patient, were recently cared for at the University of Michigan Medical Center and prompted a literature review of this subject. Since 1974, 40 cases of choledochocele have been reported with enough clinical information for critical review. Ten of these patients were 21 years of age or younger. Presenting symptoms were not specific for choledochocele; they were generally interpreted to result from other biliary or gastrointestinal disorders that are more common for each age group. In pediatric patients the most frequent signs and symptoms of choledochocele were abdominal pain (70%), nausea and/or vomiting (60%), jaundice (30%), and acute pancreatitis (30%). While two-thirds of adult patients with choledochocele had undergone prior cholecystectomy (with stones rarely found), this was observed only once in children. Obstructive symptoms led to evaluation of the stomach and duodenum with either barium upper GI series or endoscopy in all children. These demonstrated an extrinsic mass effect in 90% of the patients. Endoscopic retrograde cholangiopancreatography identified a choledochocele in all cases in which the study was successfully executed. Intravenous cholangiography was sensitive in children, but less so in the adult patients reviewed. Other imaging efforts (computerized tomography, ultrasound, radionuclide scanning) were less dependable. Transduodenal marsupialization is the treatment of choice for patients of all ages and was provided in both of these newly reported children. Springer-Verlag, 1990 Choledochocele nationallicence Choledochal cyst (type III) nationallicence Duodenal duplication nationallicence Manning Peter Section of Pediatric Surgery, Department of Surgery, The University of Michigan Medical Center, 48109, Ann Arbor, MI, USA aut Polley Jr. Theodore Section of Pediatric Surgery, Department of Surgery, The University of Michigan Medical Center, 48109, Ann Arbor, MI, USA aut Oldham Keith Section of Pediatric Surgery, Department of Surgery, The University of Michigan Medical Center, 48109, Ann Arbor, MI, USA aut Pediatric Surgery International Springer-Verlag 5/1(1990-01-01), 22-26 0179-0358 5:1<22 1990 5 383 https://doi.org/10.1007/BF00179633 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00179633 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Manning Peter Section of Pediatric Surgery, Department of Surgery, The University of Michigan Medical Center, 48109, Ann Arbor, MI, USA aut NATIONALLICENCE 700 1- Polley Jr Theodore Section of Pediatric Surgery, Department of Surgery, The University of Michigan Medical Center, 48109, Ann Arbor, MI, USA aut NATIONALLICENCE 700 1- Oldham Keith Section of Pediatric Surgery, Department of Surgery, The University of Michigan Medical Center, 48109, Ann Arbor, MI, USA aut NATIONALLICENCE 773 0- Pediatric Surgery International Springer-Verlag 5/1(1990-01-01), 22-26 0179-0358 5:1<22 1990 5 383 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer