Abstract

CHOLEDOCHOL CYST: A RETROSPECTIVE STUDY IN J.L.N. MEDICAL COLLEGE & HOSPITAL, AJMER

Abstract

The choledochal cyst is the dilatation of either intra or extrahepatic biliary system or both. This study has been done in J L N Medical college and hospital, Ajmer, Rajasthan after taking permission from the institutional ethical committee . Between 2010 and 2013, 27 patients with choledochal cyst were recorded retrospectively for their age; gender; presenting clinical symptoms; physical, laboratory and histological findings; diagnostic methods; and operative procedures. Out of 27 patients with choledochal cyst, six cases were male (22.22%) and twenty one cases (77.78%) were females Out of 27 patients, 20 patients(74.07%) were less than 17 year of age, and 7(25.92%) patients were above 17 years of age. The most common symptoms were abdominal pain (n=25), and vomiting (n=21) while the most frequent physical findings were tenderness of the right upper abdominal quadrant (n=18) and intermittent jaundice (n=15).Most common surgical procedure performed was total cystectomy + Roux-en-Y hepaticojejunostomy (n=21). The mean duration of drains was 5 days.

Keywords: Choledochal cyst, Todani’s classification , Roux-en-Y Hepaticojejunostomy