PATHOLOGY

PATHOLOGY MCQ

BILIARY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
type 1 choledochal cysts should be treated with:
A
diverticulectomy
B
complete excision, cholecystectomy, REY hepaticoj
C
transduodenal excision or sphincteroplasty
D
whipple
Explanation: 

Detailed explanation-1: -Type 1-a cyst of the extrahepatic bile duct, accounting for up to 90% of all choledochal cysts. Type 2-an abnormal pouch or sac opening from the duct. Type 3-a cyst inside the wall of the duodenum. Type 4-cysts on both the intrahepatic and extrahepatic bile ducts.

Detailed explanation-2: -Choledochal cysts (CCs) are single or multiple dilatations of the intra-hepatic or extrahepatic biliary tree. If left untreated, they can cause morbidity and mortality from recurrent cholangitis, pancreatitis, sepsis, liver abscesses and cholangiocarcinoma.

Detailed explanation-3: -Patients undergoing excision of a choledochal cyst are subject to the usual complications associated with surgery, including hemorrhage, wound infection, bowel obstruction, and thrombotic complications. Postoperatively, patients are at risk of developing pancreatitis and ascending cholangitis. More items •01-Jul-2020

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