Ka O, Dieng M, Konate I, Ba P A, Ndongo S, Mbengue M, Pouye A, Leye A, Niang E H, Dia A, Toure C T
Clinique chirurgicale CHU A. Le Dantec.
Dakar Med. 2005;50(3):128-31.
Congenital choledochal cyst is a congenital dilatation of the biliary tract often associated with a long common bilio-pancreatic duct without obstruction.
We report the case of two women who presented a congenital choledochal cyst.
For the first patient, the diagnosis was effected during a laparoscopic cholecystectomy for a gall bladder lithiasis. The second one presented repeted access of angiocholitis. Echography and abdominal tomodensitometry found the congenital choledochal cyst. Percutaneous opacification of the cyst found a long common biliopancreatic duct in the second patient. A complete resection of the cyst with a cholangiojejunal anastomosis was performed for both patients. The treatment was successfull for the first one and the second one was deceased three days after the operation.
This case report underlines the clinical polymorphysm, the morphologic anomaly and the treatment of congenital choledochal cyst which require total resection.
先天性胆总管囊肿是一种胆道的先天性扩张，常伴有一条无梗阻的长共同胆胰管。
我们报告了两名患有先天性胆总管囊肿的女性病例。
对于首例患者，诊断是在因胆囊结石进行腹腔镜胆囊切除术时做出的。第二例患者反复出现胆管炎发作。超声检查和腹部计算机断层扫描发现了先天性胆总管囊肿。对囊肿进行经皮造影发现第二例患者有一条长共同胆胰管。两名患者均接受了囊肿完整切除及胆管空肠吻合术。首例患者治疗成功，第二例患者术后三天死亡。
本病例报告强调了先天性胆总管囊肿的临床多态性、形态学异常及需要进行完全切除的治疗方法。
