a€œForme Fruste Choledochal Cyst a€“ a single centre study with review of literaturea€

Year 2012, Volume: 4 Issue: 2, 1 - 6, 26.05.2012

Vijai Upadhyaya , Basant Kumar Abhimanyu Kapoor Sushila Jaiswal

Abstract

Forme fruste choledochal cyst (FFCC) is a rare disease which needs high index of suspicion for diagnosis. We are presenting 3 cases of FFCC managed in our department in last 2 year. In one case FFCC was suspected on clinical evaluation and diagnosis was confirmed by magnetic resonance cholangiopancreatography and endoscopic retrograde cholangiopancreatography whereas in rest, diagnosis was made on clinical suspicion and confirmed by MRCP and peroperative cholangiogram. We are presenting series of three cases of FFCC, because it is a rare disease and need high index of suspicion for its diagnosis and once diagnosed it can be cured.

Keywords

Choledochal cyst , pancreatitits , surgery

References

• Schmidt HG, Bauer J, Wiessner V, Schonekas H. revealed a mildly dilated common bile duct. Endoscopic Hepatogastroenterology.1996;43:143-146 of choledochoceles.
• Lilly JR, Stellin GP, Karrer FM. Forme fruste choledochal cyst. J Pediatr Surg 1985; 20: 449-451
• Miyano T, Ando K, Yamataka A, Lane G, Segawa O, Kohno S, et al. Pancreaticobiliary maljunction associated with nondilatation or minimal dilatation of the common bile duct in children: diagnosis and treatment. Eur J Pediatr Surg. 1996; 6: 334-337.
• Thomas S, Sen S, Zachariah N, Chacko J, Thomas G. Choledochal cyst sans cyst-experience with six "forme truste" cases. Pediatr Surg Int. 2002; 18: 247-251
• Arnolds (1906) Eine manneskopfroben Retentionszyste des choledochus. Dtsch Med Wochenschr 32:1804
• Miyano T, Yamataka A, Li L (2000) Congenital biliary dilatation. Semin Pediatr Surg 9:187–195
• Komi N, Funabiki T (1997) Diagnostic criteria of pancreaticobiliary Maljunction:3–4 Pancreaticobiliary
• Alonso-Lej F, Rever WB Jr, Pessagno DJ (1959) Congenital choledochal cyst, with a report and analysis of 94 cases. Int Abst Surg 108:1–30
• Mizuno M, Kato T, Koyama K (1996) An analysis of mutagens in the contents of the biliary tract in pancreaticobiliary maljunction. Surg Today 26:597– 602
• Menguy RB, Hallenbeck GA, Bolman JL, et al. (1958) Intraductal pressures and sphincteric resistance in canine pancreatic and biliary ducts after various stimuli. Surg Gynecol Obstet 106:306–320
• Okada A, Nagaoka M, Kamata S, et al. (1981) Common channel syndrome—anomalous junction of the pancreatico-biliary ductal system. Z Kinderchir 32:144–151
• Shimotakahara A, Yamataka A, Kobayashi H, Okada Y, Yanai T, Lane GJ, et al, Forme fruste choledochal cyst: long-term follow-up with special reference to surgical technique. J Pediatr Surg 2003: 38: 1833-1836.
• Hernaz-Schulman M, Ambrisubi MM, Freeman PC, Quin CB (1995) Common bile duct in children: sonographic dimensions. Radiology 195: 193-95
• Guelrud M, Morera C, Rodriguez M, Prados JG, Jaen D (1999) Normal and anomalous Pancreaticobiliary union in children and adolescents. Gastrointest endosc 50: 189 – 193
• Barker AP, Ford WD, Le Quesne GW, Moore DJ (1992) The common biliopancreatic channel syndrome in childhood Aust N Z j Surg 62: 70 – 73
• Ng WD, Liu K, Wong MK, Kong CK, Lee K, Chan Y T, Leung JW, (1992) Endoscopic sphincterotomy in young patients with choledochal dilatation and a long common channel: a preliminary report. Br J Surg 79: 550 – 552.