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Abstract

ABSTRACT: BACKGROUND: A Choledochal cyst is a rare biliary disease mostly presenting during childhood. Adult presentation is rare and associated diseases and complications are common. OBJECTIVE: This study aims to review the management of patients who presented to our hospital with choledochal cysts, focusing on their presentation, preoperative investigations, treatment given and postoperative course. METHODS: A prospective and retrospective review of all our choledochal cysts patients from April 2000 to November 2010 was performed RESULTS: There were twenty three patients, sixteen females and seven males the average age was 25.82 (range 4-70) years. The commonest presenting complaints were abdominal pain or jaundice. There were eighteen Types I (78.2 %), two of the adult patients had concomitant cholangiocarcinoma (8.6 %), and four patients had cholangitis (two of them had associated cystolithiasis). Fourteen patients treated by total cyst excision with hepaticojejunostomy, CONCLUSION: Adult patients with choledochal cysts have associated biliary problems. In view of the high risk of cholangiocarcinoma, early resection and not internal drainage is the appropriate treatment.

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