Martínez Ortiz Cesar Antonio, Jiménez-López Maricela, Serrano Franco Salvador
Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Mexico.
Ann Med Surg (Lond). 2016 Aug 31;11:29-31. doi: 10.1016/j.amsu.2016.08.016. eCollection 2016 Nov.
Biliary cysts are duct dilatation that can occur on all biliary ducts, 20-25% is diagnosed in adults. The classic triad for the clinical presentation consists on abdominal pain, jaundice and abdominal mass. The standard treatment is surgical resection and bilioenteric anastomosis. The objective of this study is to analyze the prevalence and characteristics of biliary cysts in our center.
This is an observational retrospective study, we included patients older than 16 years old with biliary cyst from march 1989 to February 2015. The demographic and clinical information was collected from the charts and electronic records available at our Hospital.
Biliary cysts were reported on 52 patients, only 25 clinical charts were available. The main symptom was abdominal pain in 21 (84%). The diagnosis was performed with abdominal ultrasound in 16 (64%). The most frequent type was IA in 9 (36%). All patients were treated with surgery as a definitive management.
Vague clinical presentation results on a delay of the diagnosis and treatment. Surgical resection is recommended for patients since they have an increased risk for malignant transformation. Postoperative complications in our patients were stenosis of bilioenteric anastomosis in 3 (12%) patients.
Biliary cysts require an accurate diagnosis and surgical treatment in order to decrease the risk of malignant transformation and progression of the disease. Precise surgical treatment is needed to achieve complete resection and a long term postoperative follow up is mandatory.
胆管囊肿是胆管扩张，可发生于所有胆管，20% - 25%在成人中被诊断出来。临床表现的经典三联征包括腹痛、黄疸和腹部肿块。标准治疗方法是手术切除和胆肠吻合术。本研究的目的是分析我们中心胆管囊肿的患病率和特征。
这是一项观察性回顾性研究，我们纳入了1989年3月至2015年2月期间年龄大于16岁的胆管囊肿患者。人口统计学和临床信息从我们医院的病历和电子记录中收集。
报告了52例胆管囊肿患者，仅有25份临床病历可用。主要症状为腹痛，共21例（84%）。16例（64%）通过腹部超声进行诊断。最常见的类型是IA型，共9例（36%）。所有患者均接受手术作为确定性治疗。
临床表现模糊导致诊断和治疗延迟。建议对患者进行手术切除，因为他们发生恶性转化的风险增加。我们患者的术后并发症为3例（12%）胆肠吻合口狭窄。
胆管囊肿需要准确诊断和手术治疗，以降低恶性转化和疾病进展的风险。需要精确的手术治疗以实现完全切除，术后长期随访是必要的。
