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Management of Congenital Cystic Dilation of Common Bile Duct in Dakar (Senegal)

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.


Auteur(s) : oure Alpha Oumar*, Seck Mamadou, Thiam Ousmane, Sylla Mohamed, Ka Ibrahima, Gueye Mohamadou Lamine, Seye Yacine, Sarr Ibrahima Sitor, Cisse Mamadou, D
Pages : 154-7
Année de publication : 2019
Revue : Journal of Surgery
N° de volume : 7(6)
Type : Article
Mise en ligne par : TOURE Alpha Oumar