Nambiar Lakshmi, Alex Asha, Siskind Eric, Shen Adam W, Fan Cathy, Grimaldi Greg, Choy Charles, Madariaga Juan, Nicastro Jeffrey, Molmenti Ernesto P, Coppa Gene
Department of Surgery, Hofstra North Shore-LIJ School of Medicine, Hofstra University, Hempstead, New York.
Department of Pathology, Hofstra North Shore-LIJ School of Medicine, Hofstra University, Hempstead, New York.
Int J Angiol. 2016 Dec;25(4):263-265. doi: 10.1055/s-0034-1376317. Epub 2015 May 4.
Choledochal cysts involving the cystic duct are extremely rare, and are usually associated with cystic dilatations of the extrahepatic biliary tract. We describe a patient who presented with jaundice and was found to have a dilatation of the common bile duct on computed tomographic imaging, consistent with a choledochal cyst. He underwent a laparoscopic-converted-to-open cholecystectomy with excision of the choledochal cyst which was found to involve the cystic duct. Choledochal cysts involving the cystic duct are notably missing from the Todani classification. Although exceedingly rare, new cases of these types of cysts are being reported, in part due to advancement of diagnostic imaging modalities. We discuss the current classification scheme for choledochal cysts and we propose an expansion of this scheme.
累及胆囊管的胆总管囊肿极为罕见，通常与肝外胆管的囊性扩张相关。我们描述了一名出现黄疸的患者，计算机断层扫描成像显示胆总管扩张，符合胆总管囊肿表现。他接受了由腹腔镜转为开腹的胆囊切除术，并切除了累及胆囊管的胆总管囊肿。托达尼分类中明显没有提及累及胆囊管的胆总管囊肿。尽管这类囊肿极其罕见，但仍有新病例不断被报道，部分原因是诊断成像技术的进步。我们讨论了当前胆总管囊肿的分类方案，并提议对该方案进行扩展。
