PDF(Pubmed)
Abstract：
Choledochal cysts are uncommon dilatations of the biliary tree. Giant choledochal cysts are those that exceed a maximum diameter of 10cm. Our case describes a female infant who presented to our paediatric surgery department with a three-day history of vomiting, abdominal distention, pale stool, and irritability. On palpation, she was found to have a large abdominal mass and the computed tomography (CT) scan showed a giant choledochal cyst. The patient underwent laparotomy with cholecystectomy, choledochal cyst drainage and complete excision, with hepaticojejunosotomy. At the last follow-up three years post-surgery, all growth parameters and liver enzymes were within normal ranges. To the best of our knowledge, this is the first documented case of a giant choledochal cyst in the paediatric Caribbean population.
摘要：
胆总管囊肿是胆道树的罕见扩张。巨大的胆总管囊肿是指最大直径超过10cm的囊肿。我们的案例描述了一位女性婴儿，她出现在我们的儿科外科，有三天的呕吐史，腹胀,苍白的大便,和烦躁。在触诊时，她被发现有一个大的腹部肿块，计算机断层扫描（CT）扫描显示一个巨大的胆总管囊肿。患者接受了胆囊切除术的剖腹手术，胆总管囊肿引流和完全切除，肝空肠切开术。在手术后三年的最后一次随访中，所有生长参数和肝酶均在正常范围内.据我们所知,这是加勒比海儿童人群中首例有记录的巨大胆总管囊肿病例。
