Volume 7, Issue 6, December 2019, Page: 154-157
Management of Congenital Cystic Dilation of Common Bile Duct in Dakar (Senegal)
Toure Alpha Oumar, Department of Surgery, Cheikh Anta DIOP University, Dakar, Senegal
Seck Mamadou, Department of Surgery, Cheikh Anta DIOP University, Dakar, Senegal
Thiam Ousmane, Department of Surgery, Cheikh Anta DIOP University, Dakar, Senegal
Sylla Mohamed, Department of Surgery, Cheikh Anta DIOP University, Dakar, Senegal
Ka Ibrahima, Department of Surgery, Cheikh Anta DIOP University, Dakar, Senegal
Gueye Mohamadou Lamine, Department of Surgery, Cheikh Anta DIOP University, Dakar, Senegal
Seye Yacine, Department of Surgery, Cheikh Anta DIOP University, Dakar, Senegal
Sarr Ibrahima Sitor, Department of Surgery, Cheikh Anta DIOP University, Dakar, Senegal
Cisse Mamadou, Department of Surgery, Cheikh Anta DIOP University, Dakar, Senegal
Dieng Madieng, Department of Surgery, Cheikh Anta DIOP University, Dakar, Senegal
Received: Aug. 8, 2019;       Accepted: Sep. 27, 2019;       Published: Oct. 10, 2019
DOI: 10.11648/j.js.20190706.11      View  83      Downloads  24
Abstract
Congenital cystic dilatation of common bile duct is a rare condition in Africa and the West. Its discovery is often fortuitous. The diagnosis is based on imagery. Our goal was to report 3 cases followed by a literature review. Three patients were received, most often for pain of the right hypochondrium. There were 2 women and 1 man aged between 16 and 27 years old. The physical examination was normal. The abdominal CT scan allowed us to diagnose a IA Todani cyst in all patients, including one degenerate. Cholecystectomy with resection of the bile duct, followed by hepatico-jejunal anastomosis on anse-en-Y of Roux was performed in 2 patients. The immediate suites were simple. Histology showed inflammation on 2 operative specimen and cholangiocarcinoma on the 3rd. Choledochal DKC is a rare condition, often revealed in adults by complications. Bilio-pancreatic CT is an alternative to cholangio-MRI for its diagnosis with a type I Todani easily recognized. The treatment is surgical with a bad prognosis in case of degeneration.
Keywords
Cystic Dilatation, Bile Duct, CT Scan, MRI, Surgery
To cite this article
Toure Alpha Oumar, Seck Mamadou, Thiam Ousmane, Sylla Mohamed, Ka Ibrahima, Gueye Mohamadou Lamine, Seye Yacine, Sarr Ibrahima Sitor, Cisse Mamadou, Dieng Madieng, Management of Congenital Cystic Dilation of Common Bile Duct in Dakar (Senegal), Journal of Surgery. Vol. 7, No. 6, 2019, pp. 154-157. doi: 10.11648/j.js.20190706.11
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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