CHOLEDOCHAL CYST

RESULTS OF MANAGEMENT OF 13 CASES IN CHILDREN

Abstract

OBJECTIVES: To assess the mode of presentation and results of surgical management of choledochal cysts in
children. DESIGN; Retrospective study PERIOD: 1995 to 2000. SETTING: Department of Paediatric Surgery,
Allied Hospital Faisalabad and Department of Surgery Ghafoor Bashir Children Hospital Faisalabad: PATIENTS
& METHODS: The case records of 13 patients with choledochal cyst were reviewed with regard to their mode of
presentation, anatomical type, operative procedure performed and post-operative course. RESULTS: Male to Female
ratio was 1.00:1.17. Nearly one third of the cases presented under the age of six months. Infants presented with
jaundice and acholic stools. Episodic jaundice and pain in the RHC were the common symptoms in children. Two
cases presented with acute cholangitis. All cases were operated upon and excision of the cyst with a roux-en-Y
hepatico jejunostomy was done in 10, roux en Y cysto-jejunostomy in 2 and tube cystostomy in 1 case. There was
one death. CONCLUSION: The treatment of choledochal cyst is excision which is a safe option in our setting
provided the diagnosis is made in time.