Cisto de colédoco em adulto: anomalia da junção do colédoco com o ducto pancreático submetido à ressecção do cisto e à derivação biliar e pancreática

Revista do Colégio Brasileiro de Cirurgiões

Manlio Basilio Speranzini¹  Rone Antônio Alves Abreu²  Raphael Braun Petty Pacheco² 

[1] ,Faculdade de Medicina do ABCSão Paulo

关键词: Choledochal cyst;    Choledochal cyst;    Choledochal cyst;    Anastomosis;    Roux-en-Y;    Pancreatic ducts;   

DOI  :  10.1590/S0100-69912008000200014

来源: SciELO

【 摘 要 】

Common bile duct cysts are rare congenital anomalies which have been diagnosed only in twenty per cent of adults. The etiology is uncertain, but many patients have an anomalous pancreatobiliary junction anatomy. We present a case of a young man with a type I Alonso-Lej/ Todani common bile duct cyst and an anomalous common bile duct-pancreatic junction anatomy. Because the common bile duct did not have a segment of normal caliber, to avoid compromising with the pancreatic channel after the excision of the cyst, we performed a Roux-en-Y anastomosis by anastomosing the biliary duct to the proximal excluded jejunal loop and the common duct-pancreatic junction to the same more distally loop.

【 授权许可】

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