Year 2022 / Volume 114 / Number 5
Letter
Endoscopic view of the intrahepatic biliary ducts by direct per-oral cholangioscopy in a patient with a choledochal cyst

300-301

DOI: 10.17235/reed.2022.8551/2021

Andrés J. del Pozo-García, Pablo Hernán, Juan Antonio Serrano, José Carlos Marín-Gabriel, Fernando Sánchez-Gómez, Lucía Ballesteros, Sonia Sáenz-López,

Abstract
Sixty year old female with hypertension and crampy abdominal pain episodes. Admitted to hospital (September-2020) by obstructive jaundice. MRCP: biliary dilation due to Todani Ic (fusiform) choledocal cyst (CC), distal sludge. ERCP: normal mucosa prominent papilla; biliary dilation compatible with CC; choledocholithiasis; 8-mm CHD filling defect. Sphincterotomy, removal of stones/sludge, brush-cytology of the filling defect (pathology: atypias). US: dilation resolution (CBD: 6.5 mm).
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09/05/2022 17:01:15
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References
1. Del Vecchio Blanco G, Mossa M, Troncone E, Argirò R, Anderloni A, Repici A, Paoluzi OA, Monteleone G. Tips and tricks for the diagnosis and management of biliary stenosis-state of the art review. World J Gastrointest Endosc. 2021 Oct 16;13(10):473-490. doi: 10.4253/wjge.v13.i10.473. PMID: 34733408; PMCID: PMC8546565
2. Soares KC, Arnaoutakis DJ, Kamel I, Rastegar N, Anders R, Maithel S, Pawlik TM. Choledochal cysts: presentation, clinical differentiation, and management. J Am Coll Surg. 2014 Dec;219(6):1167-80. doi: 10.1016/j.jamcollsurg.2014.04.023. Epub 2014 Jun 27. PMID: 25442379; PMCID: PMC4332770.
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4. Ikarashi S, Hayashi K, Terai S. Choledochocele observed on direct peroral cholangioscopy using an ultra-slim endoscope. J Hepatobiliary Pancreat Sci. 2021 Nov;28(11):e49-e51. doi: 10.1002/jhbp.884. Epub 2020 Dec 30. PMID: 33320443.
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Citation tools
del Pozo-García A, Hernán P, Serrano J, Marín-Gabriel J, Sánchez-Gómez F, Ballesteros L, et all. Endoscopic view of the intrahepatic biliary ducts by direct per-oral cholangioscopy in a patient with a choledochal cyst. 8551/2021


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Publication history

Received: 24/12/2021

Accepted: 13/01/2022

Online First: 17/01/2022

Published: 06/05/2022

Article revision time: 14 days

Article Online First time: 24 days

Article editing time: 133 days


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