Choledochoceles in children: The elephant abnormality
A choledochocele is a rare congenital abnormality of the extrahepatic bile duct characterised by localised dilatation of the distal common bile duct within the wall of the duodenum. We present two children with a long history of undiagnosed abdominal pain and subtle signs of cholestasis. Specific in...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Book |
| Published: |
Elsevier,
2022-10-01T00:00:00Z.
|
| Subjects: | |
| Online Access: | Connect to this object online. |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | A choledochocele is a rare congenital abnormality of the extrahepatic bile duct characterised by localised dilatation of the distal common bile duct within the wall of the duodenum. We present two children with a long history of undiagnosed abdominal pain and subtle signs of cholestasis. Specific investigations included magnetic resonance cholangiopancreatography (MRCP) that led to a possible diagnosis of choledochocele, and then confirmatory cholangiograms (ERCP and open). Both children required intervention to unroof the dilatation allowing improved pancreato-biliary drainage and complete resolution of symptoms.Elephants have no gallbladder, instead they have a localised dilatation of the distal common bile duct within the wall of the duodenum - analogous to the situation described here. |
|---|---|
| Item Description: | 2213-5766 10.1016/j.epsc.2022.102434 |