Biliary cysts

This review brings the total number of biliary cysts reported in the world literature to 955. Eighty-one per cent of patients are females and 61% were discovered before age ten. The classical triad of right upper quadrant pain, right upper quandrant mass, and juandice is present in 38% of cases. The...

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Bibliographic Details
Published in:Annals of surgery 1975-11, Vol.182 (5), p.635-643
Main Author: Flanigan, P D
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age Factors
Animals
Biliary Tract Diseases - complications
Biliary Tract Diseases - diagnosis
Biliary Tract Diseases - epidemiology
Biliary Tract Diseases - pathology
Biliary Tract Diseases - surgery
Child
Child, Preschool
Cysts - complications
Cysts - diagnosis
Cysts - epidemiology
Cysts - pathology
Cysts - surgery
Dogs
Female
Humans
Infant
Male
Methods
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Summary:This review brings the total number of biliary cysts reported in the world literature to 955. Eighty-one per cent of patients are females and 61% were discovered before age ten. The classical triad of right upper quadrant pain, right upper quandrant mass, and juandice is present in 38% of cases. The duration of symptoms prior to diagnosis ranged from less than one week to more than 40 years. The etiology is multifaceted and evidence of the existence of both acquired and congenital cysts is presented. The most useful diagnostic tool is fiberoptic endoscopy with retrograde contrast injection of the common bile duct and pancreatic duct. The incidence of biliary carcinoma in patients with biliary cysts is found to be 2.5%; 24 cases have been reported. Considerable controversy has existed concerning the best operative procedure for biliary cysts; no treatment or medical treatment yielding a 97% mortality rate. In an analysis of 235 patients presented since 1968 with an average followup of 5.2 years, the best procedure appears to be excision with either choledochocholedocostomy or Roux-en-Y hepaticojejunostomy. The operative mortality for all procedures is now 3 to 4%.
ISSN:0003-4932
1528-1140
DOI:10.1097/00000658-197511000-00017