| Peer-Reviewed

Management of Congenital Cystic Dilation of Common Bile Duct in Dakar (Senegal)

Received: 8 August 2019     Accepted: 27 September 2019     Published: 10 October 2019
Views:       Downloads:
Abstract

Congenital cystic dilatation of common bile duct is a rare condition in Africa and the West. Its discovery is often fortuitous. The diagnosis is based on imagery. Our goal was to report 3 cases followed by a literature review. Three patients were received, most often for pain of the right hypochondrium. There were 2 women and 1 man aged between 16 and 27 years old. The physical examination was normal. The abdominal CT scan allowed us to diagnose a IA Todani cyst in all patients, including one degenerate. Cholecystectomy with resection of the bile duct, followed by hepatico-jejunal anastomosis on anse-en-Y of Roux was performed in 2 patients. The immediate suites were simple. Histology showed inflammation on 2 operative specimen and cholangiocarcinoma on the 3rd. Choledochal DKC is a rare condition, often revealed in adults by complications. Bilio-pancreatic CT is an alternative to cholangio-MRI for its diagnosis with a type I Todani easily recognized. The treatment is surgical with a bad prognosis in case of degeneration.

Published in Journal of Surgery (Volume 7, Issue 6)
DOI 10.11648/j.js.20190706.11
Page(s) 154-157
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Cystic Dilatation, Bile Duct, CT Scan, MRI, Surgery

References
[1] Rayya F, Balouli M, AlshaikhaY. Congenital common bile duct cyst. J Ped Surg Case Reports 2019, 43: 8–10.
[2] Khmekhem H, Zitouni H, Ben Ahmed Y, Jlidi S, Nouira F, Charleg A et al. traitement chirurgical des dilatations kystiques de la voie biliaire chez l’enfant. Résultats à propos de 16 observations. J Ped Puericult 2012; 25: 199-205.
[3] Disibeyaz S, Parlak E, Cicek B, Cengiz C, Kuran SO, Oguz D et al. Anomalous opening of the common bile duct into the duodenal bulb: endoscopic treatment. BMC Gastroenterol 2007; 7: 26.
[4] Bricha M, Dafiri R. Une cause inhabituelle d’un abdomen aigu chez l’enfant: la rupture spontanée d’un kyste du cholédoque. J Radiol 2007; 88: 692-693.
[5] Kamisawa T, kaneko K, Itoi T, Ando H. Pancreaticobiliary maljunction and congenital biliary dilatation. Lancet Gastroenterol Hepatol 2017; 2: 610–18.
[6] Pilleul F. Asymptomatic or paucisymptomatic common bile duct dilatation on ultra-sonography after cholecystectomy: management. J Radiol 2006; 2 (1): 41-44.
[7] Savic Dj, Milovanovic D, Jovanovic D. Congenital dilatation of the common bile duct. Srp Arh Celok Lek 2001; 129 (1): 47-50.
[8] Elabsi M, Amraoui M, Elouannani M, Echarrab M, Elalami FA, Errougani A et al. Dilatation kystique du colédoque associée à une dilatation kystique du canal cystique. J Chir 2006; 146 (5): 308-309.
[9] Croome KP, Nagorney DM. Chapter 46: Bile duct cysts in adults. Blumgart's Surgery of the Liver, Biliary Tract and Pancreas, 2-Volume Set (Sixth Edition) , 2017: 752-764. e3
[10] Ka O, Dieng M, Konaté I, Ba PA, Ndongo S, Mbengue M et al. Kyste congenital du cholédoque de l’adulte: à propos de 2 observations. Dakar Med 2005, 50 (3): 128-130.
[11] Giani L, Nobili P, Annolfi B, Origgi C. Cystic dilatation of the common bile duct. G Chir 1996, 17 (1-2): 23-27.
[12] Cannela R, Giambelluca D, Diamarco M, Caruana G, Cutaia G, Midiri M et al. Congenital Cystic Lesions of the Bile Ducts: Imaging-Based Diagnosis. Current Problems in Diagnostic Radiology 2019 doi.org/10.1067/j.cpradiol.2019.04.005
[13] DagherI, Franco D. Lésions kystiques du foie et des voies biliaires (en dehors du kyste hydatique). Place de la chirurgie. Gastroenterol Clin Biol 2005; 29: 875-877.
[14] Moslim MA, Takahashi H, Seifarth FG, Walsh RM, Morris-Stiff G. Choledochal cyst disease in a western center: a 30-year experience. J Gastrointest. 2016, 8: 1453–1463.
[15] Dostalik J, Gunka I, Martink L, Cernoch J, Mazur M. A case report of a 39 years-old male with choledochal cyst mimicking pancreatic pseudocyst. Hepatogastroenterology 2007; 54 (74): 393-396.
[16] Mantas D, Stamopoulos P, Kouskos E, Dimitroulis D. Giant biliary cyst. J. Gastrointest. Surg. 2016, 20 (10): 1778-1780.
[17] Lira AKM, Soto AJM, Frigerio P. Choledochal cyst Todani IA case report. Int J Surg Case reports 2016, 28: 293-295.
[18] Nguyen Galvàn NT, Kumm K, Yoeli D, Witte E, Kueht M, Cotton RT et al. An impressive choledochal cyst and its surgical resection. Int J Surg Case Reports 2017, 33: 48-50.
[19] Vullierme MP, Vilgrain V, Zins M, Sibert A, Denys A, Belghiti J et al. Dilatation kystique congénitale de la voie biliaire principale: corrélations radio-anatomiques chez 14 malades. Gastroenterol Clin Biol 1997; 21: 201-208.
[20] Kamisawa T, Ando H, Suyama M, et al, for the Japanese Study Group on Pancreaticobiliary Maljunction. Japanese clinical practice guidelines for pancreaticobiliary maljunction. J Gastroenterol 2012; 47: 731–59.
[21] Soares KC, Kim Y, Spolverato G, et al. Presentation and clinical outcomes of ’choledochal cysts in children and adults: a multi-institutional analysis. JAMA Surg 2015, 150: 577–584.
[22] Le Bail B. Pathologie de la vésicule biliaire te des voies biliaires extra-hépatiques. Introduction. Ann Path 2014; 34: 258-265.
Cite This Article
  • APA Style

    Toure Alpha Oumar, Seck Mamadou, Thiam Ousmane, Sylla Mohamed, Ka Ibrahima, et al. (2019). Management of Congenital Cystic Dilation of Common Bile Duct in Dakar (Senegal). Journal of Surgery, 7(6), 154-157. https://doi.org/10.11648/j.js.20190706.11

    Copy | Download

    ACS Style

    Toure Alpha Oumar; Seck Mamadou; Thiam Ousmane; Sylla Mohamed; Ka Ibrahima, et al. Management of Congenital Cystic Dilation of Common Bile Duct in Dakar (Senegal). J. Surg. 2019, 7(6), 154-157. doi: 10.11648/j.js.20190706.11

    Copy | Download

    AMA Style

    Toure Alpha Oumar, Seck Mamadou, Thiam Ousmane, Sylla Mohamed, Ka Ibrahima, et al. Management of Congenital Cystic Dilation of Common Bile Duct in Dakar (Senegal). J Surg. 2019;7(6):154-157. doi: 10.11648/j.js.20190706.11

    Copy | Download

  • @article{10.11648/j.js.20190706.11,
      author = {Toure Alpha Oumar and Seck Mamadou and Thiam Ousmane and Sylla Mohamed and Ka Ibrahima and Gueye Mohamadou Lamine and Seye Yacine and Sarr Ibrahima Sitor and Cisse Mamadou and Dieng Madieng},
      title = {Management of Congenital Cystic Dilation of Common Bile Duct in Dakar (Senegal)},
      journal = {Journal of Surgery},
      volume = {7},
      number = {6},
      pages = {154-157},
      doi = {10.11648/j.js.20190706.11},
      url = {https://doi.org/10.11648/j.js.20190706.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20190706.11},
      abstract = {Congenital cystic dilatation of common bile duct is a rare condition in Africa and the West. Its discovery is often fortuitous. The diagnosis is based on imagery. Our goal was to report 3 cases followed by a literature review. Three patients were received, most often for pain of the right hypochondrium. There were 2 women and 1 man aged between 16 and 27 years old. The physical examination was normal. The abdominal CT scan allowed us to diagnose a IA Todani cyst in all patients, including one degenerate. Cholecystectomy with resection of the bile duct, followed by hepatico-jejunal anastomosis on anse-en-Y of Roux was performed in 2 patients. The immediate suites were simple. Histology showed inflammation on 2 operative specimen and cholangiocarcinoma on the 3rd. Choledochal DKC is a rare condition, often revealed in adults by complications. Bilio-pancreatic CT is an alternative to cholangio-MRI for its diagnosis with a type I Todani easily recognized. The treatment is surgical with a bad prognosis in case of degeneration.},
     year = {2019}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Management of Congenital Cystic Dilation of Common Bile Duct in Dakar (Senegal)
    AU  - Toure Alpha Oumar
    AU  - Seck Mamadou
    AU  - Thiam Ousmane
    AU  - Sylla Mohamed
    AU  - Ka Ibrahima
    AU  - Gueye Mohamadou Lamine
    AU  - Seye Yacine
    AU  - Sarr Ibrahima Sitor
    AU  - Cisse Mamadou
    AU  - Dieng Madieng
    Y1  - 2019/10/10
    PY  - 2019
    N1  - https://doi.org/10.11648/j.js.20190706.11
    DO  - 10.11648/j.js.20190706.11
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 154
    EP  - 157
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20190706.11
    AB  - Congenital cystic dilatation of common bile duct is a rare condition in Africa and the West. Its discovery is often fortuitous. The diagnosis is based on imagery. Our goal was to report 3 cases followed by a literature review. Three patients were received, most often for pain of the right hypochondrium. There were 2 women and 1 man aged between 16 and 27 years old. The physical examination was normal. The abdominal CT scan allowed us to diagnose a IA Todani cyst in all patients, including one degenerate. Cholecystectomy with resection of the bile duct, followed by hepatico-jejunal anastomosis on anse-en-Y of Roux was performed in 2 patients. The immediate suites were simple. Histology showed inflammation on 2 operative specimen and cholangiocarcinoma on the 3rd. Choledochal DKC is a rare condition, often revealed in adults by complications. Bilio-pancreatic CT is an alternative to cholangio-MRI for its diagnosis with a type I Todani easily recognized. The treatment is surgical with a bad prognosis in case of degeneration.
    VL  - 7
    IS  - 6
    ER  - 

    Copy | Download

Author Information
  • Department of Surgery, Cheikh Anta DIOP University, Dakar, Senegal

  • Department of Surgery, Cheikh Anta DIOP University, Dakar, Senegal

  • Department of Surgery, Cheikh Anta DIOP University, Dakar, Senegal

  • Department of Surgery, Cheikh Anta DIOP University, Dakar, Senegal

  • Department of Surgery, Cheikh Anta DIOP University, Dakar, Senegal

  • Department of Surgery, Cheikh Anta DIOP University, Dakar, Senegal

  • Department of Surgery, Cheikh Anta DIOP University, Dakar, Senegal

  • Department of Surgery, Cheikh Anta DIOP University, Dakar, Senegal

  • Department of Surgery, Cheikh Anta DIOP University, Dakar, Senegal

  • Department of Surgery, Cheikh Anta DIOP University, Dakar, Senegal

  • Sections