A CLINICAL STUDY OF CHOLEDOCHAL CYST

Dr. Aachi Srinivas; Dr. A. Sarath Kumar

Volume : VI, Issue : VIII, August - 2016

A CLINICAL STUDY OF CHOLEDOCHAL CYST

Dr. Aachi Srinivas, Dr. A. Sarath Kumar

Abstract :

18 Cases of choledocal cyst were studied in Osmania General Hospital, Hyderabad. Age and sex incidence, clinical features, sex ratio, investigations and surgical modalities of treatment were studied. The youngest patient was 7 years of age and the oldest patient was 56 years. The female to male ratio was 3.5:1. Pain in the right hypochondrium was the presenting symptom in all the 18 cases (100%). Other clinical features included jaundice, fever, mass abdomen, nausea & vomiting and upper gastro intestinal bleeding. Ultrasonography of the abdomen confirmed the preasence of choledocal cyst. MRI Scan was done to know the relationship between the lower end of CBD and the Pancreatic duct. 16 cases diagnosed as type I choledocal cyst. 2 cases showed type IV choledocal cyst. Complete excision of the cyst with re–construction of the biliary tract using Roux–en–Y loop of jejunum is the treatment of choice (Hepatico–jejunostomy).