Current Pediatrics

Advanced search

Bile Duct Cysts: Modern Aspects of Surgical Treatment and Clinical Observation of a Rare Case

Full Text:


The article presents a description of a clinical case in a two-year-old-and-four-month child suffering occasional abdominal pain. An examination (3D magnetic resonance cholangiopancreatography) revealed a choledoch duct cyst type 4. An inborn malformation of bile ducts, occasional pain, presence of concrements in ducts and the possibility of malignification and rupture of the cyst in the aftermath, as well as development of cholangitis and/or pancreatitis, served as indications for the surgery. The clinical example shown above demonstrates the high efficacy of today’s diagnosis and visualization methods, which allow doctors to properly estimate the required scale and strategy of a surgery. The article also describes stages of the surgery. During the post-surgery period, the child showed positive dynamics, the stitches were taken out on the 11th day, the wounds healed per primam, not showing any signs of acute inflammation. No abdominal pain or body temperature fluctuations occurred. 

About the Authors

D. А. Morozov
Scientific Centre of Children Health, Moscow, Russian Federation I.M. Sechenov First Moscow State Medical University, Russian Federation
Russian Federation

А. А. Gusev
Scientific Centre of Children Health, Moscow, Russian Federation
Russian Federation

Е. S. Pimenova
Scientific Centre of Children Health, Moscow, Russian Federation I.M. Sechenov First Moscow State Medical University, Russian Federation
Russian Federation


1. Saxena R., Pradeep R., Chander J., Kumar P., Wig J. D., Yadav R. V., Kaushik S. P. Benign disease of the common bile duct. Brit. J. Surg. 1988; 75: 803–806.

2. Edil B. H., Cameron J. L., Reddy S., Lum Y., Lipsett P.A., Nathan H., Pawlik T. M., Choti M. A., Wolfgang C. L., Schulick R. D. Choledochal cyst disease in children and adults: a 30-year single-institutional experience. J. Am. Coll. Surg. 2008; 206: 1000–1008.

3. Craig A. G., Chen L. D., Saccone G. T., Chen J., Padbury R. T., Toouli J. Sphincter of Oddi dysfunction associated with choledochal cyst. J. Gastroenterol. Hepatol. 2001; 16: 230–234.

4. Komi N., Takehara H., Kunitomo K., Miyoshi Y., Yagi T. Does the type of anomalous arrangement of pancreaticobiliary ducts influence the surgery and prognosis of choledochal cyst? J. Pediatr. Surg. 1992; 27: 728–731.

5. Nagata E., Sakai K., Kinoshita H., Hirohashi K. Choledochal cyst: complications of anomalous connection between the choledochus and pancreatic duct and carcinoma of the biliary tract. World J. Surg. 1986; 10: 102–110.

6. Ленюшкин А. И., Туманян Г. Т. Клинико-диагностические аспекты и тактика лечения кист желчевыводящих путей в детском возрасте. Вопросы современной педиатрии. 2005; 4 (3): 34–39.

7. Matsumoto Y., Fujii H., Itakura J., Matsuda M., Yang Y., Nobukawa B., Suda K. Pancreaticobiliary maljunction: pathophysiology and clinical aspects and impact on biliary carcinogenesis. Langenbacks Arch. Surg. 2003; 388: 122–131.

8. Lane G. J., Yamataka A., Kobayashi H., Segawa O., Miyano T. Different types of congenital biliary dilatation in dizygotic twins. Pediatr. Surg. Int. 1999; 15: 403–404.

9. Kusunoki M., Saitoh N., Yamamura T., Fujita S., Takahashi T., Utsonomiya J. Choledochal cysts. Oligoganglionosis in the narrow portion of the choledochus. Arch. Surg. 1988; 123: 984–986.

10. Alonso-LejF., ReverW.B., Jr, PessagnoD.J. Congenital choledochal cysts, with a report of 2, and an analysis of 94 cases. Int. Abstr. Surg. 1959; 108: 1–30.

11. Todani T., Watanabe Y., Toki A., Morotomi Y. Classification of congenital biliary cystic disease: special reference to type Ic and IVA cysts with primary ductal structure. J. Hepatobilairy Pancreat. Surg. 2003; 10: 340–344.

12. Bismuth H., Krissat J. Choledochal cystic malignancies. Ann. Oncol. 1999; 10 (Suppl. 4): 94–98.

13. Соколов Ю. Ю. Диагностика и лечение дуоденопанкреатобилиарных аномалий у детей. Автореферат дис ... докт. мед. наук. М. 2002. 41 с.

14. Gigot J. F., Nagorney D. M., Farnell M. B., Moir C., Ilstrup D. Bile duct cysts in adults: a changing spectrum of presentation. J. Hepatobiliary Pancreat. Surg. 1996; 3: 405–411.

15. Nicholl M., Pitt H. A., Wolf P., Cooney J., Kalayoglu M., Shilyansky J., Rikkers L. F. Choledochal cysts in Western adults: complexities compared to children. J. Gastrointest. Surg. 2004; 8: 245–252.

16. Visser B. C., Suh I., Way L. W., Kang S. M. Congenital choledochal cysts in adults. Arch. Surg. 2004; 139: 855–862.

17. Tadokoro H., Takase M. Recent advances in choledochal cysts. Open J. Gastroenterol. 2012; 2: 145–154.

18. Nagorney D. M., McIlrath D. C., Adson M. A. Choledochal cysts in adults: clinical management. Surgery. 1984; 96: 656–663.

19. Fulcher A. S., Turner M. A. MR cholangiopancreatography. Radiol. Clin. North Am. 2002; 40: 1363–1376.

20. Fieber S. S., Nance F. C. Choledochal cyst and neoplasm: a comprehensive review of 106 cases and presentation of two original cases. Am. Surg. 1997; 63: 982–987.

21. Flanigan P. D. Biliary cysts. Ann. Surg. 1975; 182: 635–643. 22. Soreide K., Korner H., Havnen J., Soreide J. A. Bile duct cysts in adults. Brit. J. Surg. 2004; 91: 1538–1548.


For citation:

Morozov D.А., Gusev А.А., Pimenova Е.S. Bile Duct Cysts: Modern Aspects of Surgical Treatment and Clinical Observation of a Rare Case. Current Pediatrics. 2015;14(3):412-415. (In Russ.)

Views: 539

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.

ISSN 1682-5527 (Print)
ISSN 1682-5535 (Online)