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Case Report
Gastroenterology
A giant choledochal cyst in infancy: a case report
Nursel Yurttutan, Suleyman Cuneyt Karakus, Naim Koku, Mustafa Demirci, Ramazan Ucak
Clin Exp Pediatr. 2016;59(5):239-241.   Published online May 31, 2016

Choledochal cyst is a dilation that encloses the intrahepatic or both extra- and intrahepatic portions of the biliary ducts. Postnatally, ultrasonography is the initial diagnostic modality of choice, allowing for precise measurements of intra- or extrahepatic duct dilatation and identification of stones and sludge. Symptoms depend on the age at presentation. Common bile duct malformations should be considered as a...

A Case of Choledochal Cyst Complicated by Liver Cirrhosis on Pathology in a 20-Month-Old-Girl
Sun Hwan Bae, Sung Yun Choi, Tae Seok Lee, Ho Jeong Lee
Clin Exp Pediatr. 2005;48(1):104-107.   Published online January 15, 2005
Choledochal cyst is considered to be congenital anomalies of the biliary tract, characterized by varying degrees of cystic dilatation at various segments of the biliary tract. A 20-month-old girl was admitted to Eul-Ji general hospital because of abdominal distension. Physical examination revealed marked splenomegaly and hepatomegaly with nodular surface and hard consistency. Laboratory examination showed elevated transaminase level, alkaline phosphatase...
Original Article
The Usefulness of MRCP in the Evaluation of Pancreaticobiliary Diseases in Children
Ji Hyun Uhm, Seung Yeon Lee, Ki Sup Chung
Clin Exp Pediatr. 2002;45(11):1381-1388.   Published online November 15, 2002
Purpose : Magnetic resonance cholangiopancreatography(MRCP) is a noninvasive method for imaging the pancreaticobiliary tree. The aim of this study was to evalute the usefulness of MRCP for the diagnosis of pancreaticobiliary diseases in children. Methods : From October 1996 to May 2001, 67 patients with obstructive jaundice and three patients with chronic recurrent pancreatitis were evaluated with abdominal ultrasonography and...
Case Report
A Case of Choledochal Cyst Type IVa Complicated by Multiple Choledocholithiasis and Recurrent Cholangitis : Therapeutic Endoscopic Retrograde Cholangiopancreatography and Endoscopic Nasobiliary Drainage
Yong Joo Kim, Eon Woo Shin, Soo Jung Choi, Ho Soon Choi, Jeh Hoon Shin
Clin Exp Pediatr. 1998;41(1):115-119.   Published online January 15, 1998
A 5-year-old male patient was admitted due to fever, and right upper abdominal pain for 2 weeks. He showed severe right upper quadrant tenderness on palpation, hepatomegaly 5 cm below the right costal margin, no mass, and no splenomegaly. On biochemical studies, ALT was 380IU/ml, AST 462IU/ml, alkaline phosphatase 1,069IU/ml, γGTP 239IU/ml, and total bilirubin 2.1mg/dl. Endoscopic retrograde cholangiopancreatography (ERCP) showed cylindrical dilatations of...
A Case of Choledochal Cyst with Anomalous Pancreaticobiliary Ductal Union
Je Woo Kim, Hyun Chul Bae, Ki Sup Chung, Seok Joo Han, Eui Ho Hwang
Clin Exp Pediatr. 1997;40(7):1010-1014.   Published online July 15, 1997
Choledochal cysts are congenital or acquired lesions of the biliary tree with a cystic dilatation of the bile duct. We experienced a choledochal cyst accompanying acute pancreatitis caused by anomalous pancreaticobiliary ductal union(APBDU) in a 2 year old boy. The choledochal cyst associated with APBDU is rarely encountered in the clinical field, and thus we report this case with the presentation of abdominal ultrasonogram, computed...
A Case Report of Autoimmune Hepatitis Associated with Choledochal Cyst and Pancreatitis
Kyung Ran Park, Sun Young Lee, Soon Young Kim, Hyoung Shim Chang, Nam Su Back, Chong Jai Kim, Joong Gon Kim, Jeong Kee Seo
Clin Exp Pediatr. 1996;39(8):1146-1150.   Published online August 15, 1996
Autoimmune hepatitis in children is a rare and severe inflammatory disease of unknown etiology, and progress to cirrohosis and liver failure, generally is responsive to immunosuppressive therapy. It is more prevalent in women than men, and characterized by the presence of circulating autoantibodies, a high serum globulin. Extrahepatic manifestations such as thyroiditis, ulcerative colitis, glomerulonephritis and autoimmune hemolytic anemia, are associated. We report, to our...
Original Article
Infantile Choledochal Cyst Presenting with Neonatal Cholestasis; Review of Anatomical and Clinical Aspect
Jae Won Jeong, Jeong Kee Seo, Kwi Won Park, In Won Kim
Clin Exp Pediatr. 1995;38(12):1629-1637.   Published online December 15, 1995
Purpose : Extrahepatic biliary atresia, neonatal hepatitis, Allagille syndrome are most common primary causes of the neonatal cholestasis. Infantile choledochal cyst is another primary disease presenting with neonatal cholestasis but its incidence is so low that it has been reported rarely. Choledochal cyst in infancy has been known to have clinically and anatomically different characteristics from ones after infancy. Thus...
Case Report
A Case of Bile Peritonitis Due to Spontaneous Perforation of Choledochal Cyst in Infant
Yong Gi Kim, Byung Chan Lee, Woo Gun Choi, Byung Churl Lee, Kyong Su Lee
Clin Exp Pediatr. 1993;36(7):1039-1043.   Published online July 15, 1993
Bile peritonitis due to spontaneous perforation of choledochal cyst is a rare disease and the etiology of spontaneous perforation is unknown in most of infant cases. Recently, we experienced a case of bile peritonitis caused by spontaneous perforation of choledochal cyst in a 6 month-old female infant. She had progressive abdominal distention with ascites, mild jaundice and intermittent passage of acholic...
Original Article
A Clinical Study of Congenital Choledochal Cyst.
Kyoung Mi Park, Ki Sup Chung, Eui Ho Hwang
Clin Exp Pediatr. 1988;31(10):1281-1289.   Published online October 31, 1988
A clinical study of 24 patients with congenital choledochal cyst who had been admitted to Severance Hospital, Yonsei University College of Medicine during the 16 year peroid from January, 1971 to December, 1986 was done. The results were as follows; 1) Of the 24 cases studied, the highest incidence of this cyst, 15 cases (62.5%), was found in children younger than 10 years of age. The...
Case Report
Four Cases of Congenital Choledochal Cyst.
Hyun Eog Yang, Yoon Hee Lee, Kyung Tai Whang
Clin Exp Pediatr. 1986;29(11):1269-1274.   Published online November 30, 1986
This paper presents experience with 4 cases of choledochal cyst who were treated at the Dept, of Pediatrics, Catholic Medical College, from December, 1983 to February, 1985. All patients were less than 24 months of age when diagnosed, and the yongest was a 5 days of age, all of whom were female. The common presenting- symptoms in this cases were...
A Case Of Choledochal Cyst In A Neonate.
Jong Man Lee, In Kyung Sung, Jong Seung Kim, Chang Kyu Oh
Clin Exp Pediatr. 1982;25(10):1068-1072.   Published online October 31, 1982
Congenital choledochal cyst is a rare disease, especially in fetal life and early infancy age. Our case was a 66 days old female baby who had the symptoms of jaundice, clay-colored stool, intermittent vomiting since birth and abdominal distension. Final diagnosis was choledochal cyst with neonatal hepatitis. An early accurate preoperative diagnosis has been associated with a marked decrease in the mortality. Roux-en-Y choledochocystojejunostomy was done. We...
Original Article
Perforated Choledochal Cyst with Bile Peritonitis in an Infant.
Sang Geel Lee, Yen Hee Kang, Ki Chang Han, Su Sang Shon
Clin Exp Pediatr. 1982;25(8):854-858.   Published online August 31, 1982
A case report of a perforated choledochal cyst with bile peritonitis occurring in a 13-month old girl is presented. The perfortion was identified on the right lateral aspect of the common bile duct. And T-tube drainage was instituted. Episodes of ascending cholangitis followed pooling of the stagnant bile in the biliary system. Reoperation was recommended but in vain.
Case Report
A Case of Congenital Choledochal Cyst.
Joon Ho Kim, Jung Ju Kim, Ko Chang Kim, Byung Yun Cheong, Won Jae Park
Clin Exp Pediatr. 1981;24(6):584-588.   Published online June 15, 1981
We experienced a case of congenital choledochal cyst in a 6 months old korean female infant with complaints of abdominal distension, jaundice, loose stool and a large mass of the abdomenin the right upper quadrant since about 3 months prior to admission. The diagnosis was confirmed by clinical symptoms and signs, physical examination, radiological findings and surgical findings. She was...
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