Ray Samrat, Bhat Bharath Kumar, Yadav Amitabh, Nundy Samiran
Department of Surgical Gastroenterology and Liver Transplantation, Sir Ganga Ram Hospital, New Delhi-110060, India.
J Surg Case Rep. 2017 Apr 4;2017(4):rjx067. doi: 10.1093/jscr/rjx067. eCollection 2017 Apr.
An isolated cystic dilatation of the cystic duct is extremely rare and very few cases have been reported in the world literature. The existing Todani's classification does not include this as a separate entity and thereby, it has been vaguely termed as a Type VI choledochal cyst by some authors in the past. We describe a case of a young male with a Type VI choledochal cyst suspected preoperatively on imaging studies and confirmed intraoperatively by laparoscopy. The cyst was localized to the cystic duct with no involvement of the common bile duct. It was excised with the gall bladder by laparoscopic cholecystectomy. Considering the rarity of these lesions, an insight into the cases reported in the world is required and knowledge about the approach to managing such cases is important in surgical practice.
胆囊管的孤立性囊性扩张极为罕见，世界文献中报道的病例很少。现有的托达尼分类法并未将其作为一个单独的实体纳入，因此，过去一些作者将其模糊地称为Ⅵ型胆管囊肿。我们描述了一例年轻男性患者，术前影像学检查怀疑为Ⅵ型胆管囊肿，术中经腹腔镜检查得以证实。囊肿局限于胆囊管，未累及胆总管。通过腹腔镜胆囊切除术将囊肿与胆囊一并切除。鉴于这些病变的罕见性，有必要深入了解世界范围内报道的病例，并且了解此类病例的处理方法在外科实践中很重要。
