Sajid Hameed, Muhammad Younis Awan, Khalid Mahmood, Muhammad Sajid, Rehan A G.
Choledochal Cyst; Results of management of 13 cases in children.
Professional Med J Jan ;9(1):60-4.

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 Pediatric 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 alcholic 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 hepaticojejunostomy 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.

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