Grottesi Alfonso, Iacovitti Simonetta, Ciano Paolo, Borrini Francesco, Zippi Maddalena
Unit of General Surgery, Sandro Pertini Hospital, Rome, Italy.
Unit of General Surgery, Sant'Eugenio Hospital, Rome, Italy.
Ann Hepatobiliary Pancreat Surg. 2022 Aug 31;26(3):281-284. doi: 10.14701/ahbps.22-011. Epub 2022 Jun 7.
Diverticula of the choledochus, better known as Todani type II cysts, are very rare and represent a predominantly pediatric pathology. Their identification by radiological methods, even if occasional, requires clinical doctors to request a surgical consultation, even for asymptomatic subjects, to proceed with their removal, given the risk of associated neoplasms. The laparoscopic approach for surgical treatment of these cysts has been recently introduced with excellent results. Due to the poor clinical records, currently there are neither shared protocols about their management nor long-term follow-up of operated patients. We report a case of an adult female suffering for years from biliary colic due to the presence of a duodenal diverticulum associated with microlithiasis' cholecystitis, who was laparoscopically treated, with excellent results in terms of symptomatic regression, reduced hospitalization, and no surgery-related complications.
胆总管憩室，更常见的是托达尼II型囊肿，非常罕见，主要是儿科疾病。通过放射学方法识别它们，即使是偶尔发现，鉴于存在相关肿瘤的风险，临床医生也需要进行手术会诊，即使是无症状患者，以便进行切除。腹腔镜手术治疗这些囊肿的方法最近已被引入，效果良好。由于临床记录不佳，目前对于它们的处理既没有共享的方案，也没有对手术患者的长期随访。我们报告一例成年女性病例，因存在与微结石性胆囊炎相关的十二指肠憩室，多年来饱受胆绞痛之苦，接受了腹腔镜治疗，在症状缓解、住院时间缩短且无手术相关并发症方面取得了良好效果。
