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Choledochocele with obstructive jaundice: A case report and a review of the Japanese literature |
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| Authors: | Kazuaki Yamaoka Junichi Tazawa Kazuhiko Koizumi Yasuhiro Asahina Kazuo Tajiri Masahiro Tsubaki Susumu Hiranuma Manabu Maeda Hisamasa Akabane Toshihiko Nouchi Happei Miyakawa Fumiaki Marumo Chifumi Sato |
| Institution: | 1. Department of Medicine, Tsuchiura Kyodo Hospital, 11-7 Manabeshinmachi, 300, Tsuchiura, Ibaraki, Japan 2. Second Department of Internal Medicine, Tokyo Medical and Dental University, 5-45, Yushima 1-chome, Bunkyo-ku, 113, Tokyo, Japan 3. Department of Surgery, Tsuchiura Kyodo Hospital, 11-7 Manabeshinmachi, 300, Tsuchiura, Ibaraki, Japan 4. Department of Radiology, Tsuchiura Kyodo Hospital, 11-7 Manabeshinmachi, 300, Tsuchiura, Ibaraki, Japan 5. Department of Pathology, Tsuchiura Kyodo Hospital, 11-7 Manabeshinmachi, 300, Tsuchiura, Ibaraki, Japan |
| Abstract: | A case of a 57-year-old farmer with a rare type of choledochal cyst (choledochocele; Alonso-Lej's type III) is described. The patient was admitted because of obstructive jaundice and acute biliary infection. Abdominal computed tomography scan showed a cystic lesion in the head of the pancreas, and endoscopic retrograde cholangiopancreatography disclosed cystic dilatation of the terminal portion of the common bile duct. It was suspected that the choledochocele could swell and compress the common bile duct, causing obstructive jaundice and acute cholangitis; therefore, it was surgically resected. We also reviewed 61 cases of choledochocele reported in Japan; the findings were similar to those reported in the English literature. |
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