Choledochal cyst and duodenal atresia: a rare combination of malformations
A rare case of congenital duodenal atresia (DA) associated with a choledochal cyst (CC) is reported. At 38 weeks of gestation, a 1,610-g girl was born by cesarean section with a prenatal diagnosis of congenital DA. After the disease was confirmed by radiographs, she underwent a duodenoduodenostomy f...
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| Veröffentlicht in: | Pediatric surgery international 2004-09, Vol.20 (9), p.724-726 |
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| creator | Sugimoto, Tsutomu Yamagiwa, Iwao Obata, Kazuya Ouchi, Takayuki Takahashi, Reiko Suzuki, Ritsuko Shimazaki, Yasuhisa |
| description | A rare case of congenital duodenal atresia (DA) associated with a choledochal cyst (CC) is reported. At 38 weeks of gestation, a 1,610-g girl was born by cesarean section with a prenatal diagnosis of congenital DA. After the disease was confirmed by radiographs, she underwent a duodenoduodenostomy for complete separation of the duodenum with an annular pancreas. Thirty-two months after the initial operation, she developed upper abdominal pain and acholic stools. Abdominal ultrasonography demonstrated a CC and dilated intrahepatic bile ducts. Magnetic resonance cholangiopancreatography showed an anomalous arrangement of the choledochus and the main pancreatic duct. A diffusely dilated extrahepatic bile duct was resected, and a hepaticoduodenostomy was performed after a cholecystectomy. The patient was discharged without complications. We could not find a similar case report in the English literature. Although it is not reported that there is a close relation of DA and CC in embryologic development, the presence of this combination should be considered. |
| doi_str_mv | 10.1007/s00383-002-0783-6 |
| format | Article |
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At 38 weeks of gestation, a 1,610-g girl was born by cesarean section with a prenatal diagnosis of congenital DA. After the disease was confirmed by radiographs, she underwent a duodenoduodenostomy for complete separation of the duodenum with an annular pancreas. Thirty-two months after the initial operation, she developed upper abdominal pain and acholic stools. Abdominal ultrasonography demonstrated a CC and dilated intrahepatic bile ducts. Magnetic resonance cholangiopancreatography showed an anomalous arrangement of the choledochus and the main pancreatic duct. A diffusely dilated extrahepatic bile duct was resected, and a hepaticoduodenostomy was performed after a cholecystectomy. The patient was discharged without complications. We could not find a similar case report in the English literature. Although it is not reported that there is a close relation of DA and CC in embryologic development, the presence of this combination should be considered.</description><identifier>ISSN: 0179-0358</identifier><identifier>EISSN: 1437-9813</identifier><identifier>DOI: 10.1007/s00383-002-0783-6</identifier><identifier>PMID: 15372284</identifier><language>eng</language><publisher>Germany: Springer Nature B.V</publisher><subject>Abnormalities, Multiple ; Cholangiopancreatography, Magnetic Resonance ; Choledochal Cyst - complications ; Duodenal Obstruction - congenital ; Female ; Humans ; Infant, Newborn ; Intestinal Atresia - complications</subject><ispartof>Pediatric surgery international, 2004-09, Vol.20 (9), p.724-726</ispartof><rights>Springer-Verlag 2004</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c353t-d70753bd8b19257410e95a9c783e6181c1d929ee19f69dd5b2e9d4d711c4015c3</citedby><cites>FETCH-LOGICAL-c353t-d70753bd8b19257410e95a9c783e6181c1d929ee19f69dd5b2e9d4d711c4015c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15372284$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sugimoto, Tsutomu</creatorcontrib><creatorcontrib>Yamagiwa, Iwao</creatorcontrib><creatorcontrib>Obata, Kazuya</creatorcontrib><creatorcontrib>Ouchi, Takayuki</creatorcontrib><creatorcontrib>Takahashi, Reiko</creatorcontrib><creatorcontrib>Suzuki, Ritsuko</creatorcontrib><creatorcontrib>Shimazaki, Yasuhisa</creatorcontrib><title>Choledochal cyst and duodenal atresia: a rare combination of malformations</title><title>Pediatric surgery international</title><addtitle>Pediatr Surg Int</addtitle><description>A rare case of congenital duodenal atresia (DA) associated with a choledochal cyst (CC) is reported. At 38 weeks of gestation, a 1,610-g girl was born by cesarean section with a prenatal diagnosis of congenital DA. After the disease was confirmed by radiographs, she underwent a duodenoduodenostomy for complete separation of the duodenum with an annular pancreas. Thirty-two months after the initial operation, she developed upper abdominal pain and acholic stools. Abdominal ultrasonography demonstrated a CC and dilated intrahepatic bile ducts. Magnetic resonance cholangiopancreatography showed an anomalous arrangement of the choledochus and the main pancreatic duct. A diffusely dilated extrahepatic bile duct was resected, and a hepaticoduodenostomy was performed after a cholecystectomy. The patient was discharged without complications. We could not find a similar case report in the English literature. Although it is not reported that there is a close relation of DA and CC in embryologic development, the presence of this combination should be considered.</description><subject>Abnormalities, Multiple</subject><subject>Cholangiopancreatography, Magnetic Resonance</subject><subject>Choledochal Cyst - complications</subject><subject>Duodenal Obstruction - congenital</subject><subject>Female</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Intestinal Atresia - complications</subject><issn>0179-0358</issn><issn>1437-9813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpdkEtLxDAUhYMozjj6A9xIcOGuem_SNok7GXwy4EbXIU1SpkPbjEm78N_bcQYEV_fBOQfOR8glwi0CiLsEwCXPAFgGYlrKIzLHnItMSeTHZA4oVAa8kDNyltIGACQv1SmZYcEFYzKfk7flOrTeBbs2LbXfaaCmd9SNwfl--pgh-tSYe2poNNFTG7qq6c3QhJ6GmnamrUPsfu90Tk5q0yZ_cZgL8vn0-LF8yVbvz6_Lh1VmecGHzAkQBa-crFCxQuQIXhVG2amAL1GiRaeY8h5VXSrniop55XInEG0OWFi-IDf73G0MX6NPg-6aZH3bmt6HMelSQJ4j55Pw-p9wE8Y41UqaMSaQoVSTCPciG0NK0dd6G5vOxG-NoHeU9Z6ynijrHWVdTp6rQ_BYdd79OQ5Y-Q-NnHaG</recordid><startdate>200409</startdate><enddate>200409</enddate><creator>Sugimoto, Tsutomu</creator><creator>Yamagiwa, Iwao</creator><creator>Obata, Kazuya</creator><creator>Ouchi, Takayuki</creator><creator>Takahashi, Reiko</creator><creator>Suzuki, Ritsuko</creator><creator>Shimazaki, Yasuhisa</creator><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>200409</creationdate><title>Choledochal cyst and duodenal atresia: a rare combination of malformations</title><author>Sugimoto, Tsutomu ; 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At 38 weeks of gestation, a 1,610-g girl was born by cesarean section with a prenatal diagnosis of congenital DA. After the disease was confirmed by radiographs, she underwent a duodenoduodenostomy for complete separation of the duodenum with an annular pancreas. Thirty-two months after the initial operation, she developed upper abdominal pain and acholic stools. Abdominal ultrasonography demonstrated a CC and dilated intrahepatic bile ducts. Magnetic resonance cholangiopancreatography showed an anomalous arrangement of the choledochus and the main pancreatic duct. A diffusely dilated extrahepatic bile duct was resected, and a hepaticoduodenostomy was performed after a cholecystectomy. The patient was discharged without complications. We could not find a similar case report in the English literature. 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| subjects | Abnormalities, Multiple Cholangiopancreatography, Magnetic Resonance Choledochal Cyst - complications Duodenal Obstruction - congenital Female Humans Infant, Newborn Intestinal Atresia - complications |
| title | Choledochal cyst and duodenal atresia: a rare combination of malformations |
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