Guo Jindie,Yang Jun,Bian Hongqiang,et al.Cystic duct cyst in children: one case review and literature analysis[J].Journal of Clinical Pediatric Surgery,,():882-887.[doi:10.3760/cma.j.cn101785-202409050-015]
Cystic duct cyst in children: one case review and literature analysis
- Keywords:
- Cystic Duct Cyst; Choledochal Cyst; Child
- Abstract:
- Objective To explore the clinical features, diagnoses, treatments and prognoses of cystic duct cyst (CDC) in children. Methods A retrospective analysis was performed for the relevant clinical data of one boy hospitalized with cystic duct cyst."Cystic duct cyst" was employed as a search term for retrieving the relevant literatures of PubMed and Web of Science."Cystic duct cyst" was used as the search term to search the databases of WANFANG and China National Knowledge Infrastructure (CNKI).Searching period started from February 1964 to September 2024; After the duplication of literature was excluded, literature review was performed to summarize the clinical and imaging features and prognoses of these diseases. Results An 8-year-old boy was hospitalized with common bile duct cyst for 4 months.Preoperative color ultrasound and abdominopelvic computed tomography (CT) examination hinted at common bile duct cyst.Magnetic resonance cholangiopancreatography and endoscopic retrograde cholangiopancreatography revealed cystic duct cysts.Da Vinci robot-assisted biliary tract exploration was performed.Cystic duct dilation was detected during operation.Combined resection of gallbladder and cystic duct cyst was performed and bile duct explored for placing a T duct at stump for drainage.Postoperative pathological diagnosis was cystic duct cyst.At Day 9 post-operation, he recovered well and was discharged with a T tube.At Week 6 post-operation, T tube angiography at outpatient clinic indicated that bile duct morphology was normal and T tube was removed.There was clinical cure.During a follow-up period of 6 months, the prognosis was decent.A total of 11 eligible papers were retrieved and a total of 11 CDC children were reported.Among them, there were 4 boys and 6 girls with an average age was 7.78(1/3-15) year.The major manifestations were abdominal pain (n=9), abdominal pain, right upper quadrant mass and jaundice (n=1) and jaundice (n=1).All children were operated and discharged uneventfully. Conclusions CDCs in children are rare and generally lack specific clinical symptoms.There are no obvious special manifestations in auxiliary examinations.However, magnetic resonance cholangiopancreatography and endoscopic retrograde cholangiopancreatography have some diagnostic values.Cystic duct dilation during surgery is a confirmative diagnosis.And gallbladder and cystic duct cystectomy are indicated for children without biliary tract abnormalities such as bile duct stones, common bile duct dilation or abnormal pancreaticobiliary confluence.
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Memo
收稿日期:2024-9-19。
基金项目:武汉市医学科学研究项目(WX23A72)
通讯作者:杨俊，Email：119064715@qq.com