Year 2017 / Volume 109 / Number 5
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Choledochocele as an atypical cause of relapsing acute pancreatitis: diagnosis and endoscopic treatment

377-378

Cristina Saldaña Dueñas, Juan José Vila Costa, Ignacio Fernández-Urién,

Abstract
The choledochocele is a cystic dilatation of the intraduodenal portion of the bile duct and corresponds to the type III biliary cysts in the Todani ´s classification. Eventhough the majority of patients remain asymptomatic they can be an atypical cause of abdominal pain or relapsing acute pancreatitis events. The risk of malignancy is lower than other choledochal cyst (<2,5%). The treatment is based on surgical or new endoscopic techniques of resection. In some of the cases an endoscopic sphincterotomy is the first approach.
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References
1- Sarris GE, Tsang D Choledochocele: case report, literature review, and a proposed classification. Surgery. 1989 Mar;105(3):408-14
2- Culetto A, Miranda-Garcia P, Tellechea JI, et al. Endoscopic treatment of a choledochocele, Endoscopy. 2016;48
3- Uribarrena Amezaga R, Fuentes Olmo J , Raventós Irigoyen N, ET al. Coledococele complicado con carcinoma de páncreas en un paciente de edad avanzada. Diagnóstico y tratamiento endoscópico. Rev Esp Enferm Dig 2010; 102(5):344-6.
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Saldaña Dueñas C, Vila Costa J, Fernández-Urién I. Choledochocele as an atypical cause of relapsing acute pancreatitis: diagnosis and endoscopic treatment. 4682/2016


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Publication history

Received: 18/10/2016

Accepted: 09/11/2016

Published: 03/05/2017

Article editing time: 197 days


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