Unsuspected choledochal cyst during laparoscopic cholecystectomy. 1995

A Pietrabissa, and U Boggi, and G Di Candio, and P C Giulianotti, and G Sartoni, and F Mosca
Istituto di Chirurgia Generale e Sperimentale, Università di Pisa, Ospedale di Cisanello, Italy.

Cystic dilation of the extrahepatic bile ducts is rarely encountered during elective biliary surgery planned for different indications. We report here on a patient with unremarkable preoperative workup and normal intraoperative anatomy of the cystic pedicle in whom a type I choledochal cyst containing a large stone was detected by the combined use of laparoscopic contact ultrasonography and intraoperative cholangiography. This case report highlights the importance of intraoperative imaging modalities of the ductal system not only in preventing iatrogenic injuries and their related complications, but also in detecting unsuspected associated biliary pathology which might significantly change the course of surgical intervention.

UI MeSH Term Description Entries
D007432 Intraoperative Period The period during a surgical operation. Intraoperative Periods,Period, Intraoperative,Periods, Intraoperative
D002758 Cholangiography An imaging test of the BILIARY TRACT in which a contrast dye (RADIOPAQUE MEDIA) is injected into the BILE DUCT and x-ray pictures are taken. Cholangiographies
D002769 Cholelithiasis Presence or formation of GALLSTONES in the BILIARY TRACT, usually in the gallbladder (CHOLECYSTOLITHIASIS) or the common bile duct (CHOLEDOCHOLITHIASIS). Gallstone Disease,Cholelithiases,Gallstone Diseases
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D014463 Ultrasonography The visualization of deep structures of the body by recording the reflections or echoes of ultrasonic pulses directed into the tissues. Use of ultrasound for imaging or diagnostic purposes employs frequencies ranging from 1.6 to 10 megahertz. Echography,Echotomography,Echotomography, Computer,Sonography, Medical,Tomography, Ultrasonic,Ultrasonic Diagnosis,Ultrasonic Imaging,Ultrasonographic Imaging,Computer Echotomography,Diagnosis, Ultrasonic,Diagnostic Ultrasound,Ultrasonic Tomography,Ultrasound Imaging,Diagnoses, Ultrasonic,Diagnostic Ultrasounds,Imaging, Ultrasonic,Imaging, Ultrasonographic,Imaging, Ultrasound,Imagings, Ultrasonographic,Imagings, Ultrasound,Medical Sonography,Ultrasonic Diagnoses,Ultrasonographic Imagings,Ultrasound, Diagnostic,Ultrasounds, Diagnostic
D015529 Choledochal Cyst A congenital anatomic malformation of a bile duct, including cystic dilatation of the extrahepatic bile duct or the large intrahepatic bile duct. Classification is based on the site and type of dilatation. Type I is most common. Choledochal Cyst, Type I,Common Bile Duct Cyst,Congenital Biliary Dilatation,Congenital Choledochal Cyst,Bile Duct Cysts,Choledochal Cyst, Diverticulum,Choledochal Cyst, Type II,Choledochal Cyst, Type III,Choledochal Cyst, Type IV,Choledochal Cyst, Type V,Choledochal Diverticulum,Choledochocele,Cyst, Common Bile Duct,Cysts, Common Bile Duct,Intrahepatic Choledochal Cyst,Multiple Choledochal Cysts,Bile Duct Cyst,Biliary Dilatation, Congenital,Choledochal Cyst, Congenital,Choledochal Cyst, Intrahepatic,Choledochal Cyst, Multiple,Choledochal Cysts,Choledochal Cysts, Diverticulum,Choledochal Diverticulums,Choledochoceles,Congenital Biliary Dilatations,Congenital Choledochal Cysts,Cyst, Bile Duct,Cyst, Choledochal,Cyst, Congenital Choledochal,Cyst, Intrahepatic Choledochal,Cyst, Multiple Choledochal,Dilatation, Congenital Biliary,Diverticulum Choledochal Cyst,Diverticulum Choledochal Cysts,Diverticulum, Choledochal,Duct Cyst, Bile,Intrahepatic Choledochal Cysts,Multiple Choledochal Cyst
D017081 Cholecystectomy, Laparoscopic Excision of the gallbladder through an abdominal incision using a laparoscope. Cholecystectomy, Celioscopic,Laparoscopic Cholecystectomy,Celioscopic Cholecystectomies,Celioscopic Cholecystectomy,Cholecystectomies, Celioscopic,Cholecystectomies, Laparoscopic,Laparoscopic Cholecystectomies

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