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Çocuk Çağında Koledok Kistini Taklit Eden Hidatik Kist Olgusu

Echinococcus Cyst Mimicking Choledochal Cyst in Childhood

Journal Name:

  • Fırat Tıp Dergisi

Publication Year:

  • 2008

Key Words:

Keywords (Original Language):

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Abstract (2. Language): 
Choledochal cys t is a rare congenital dilatation of the common bile duct, often associated with a congenital or acquired dilatation of intra-hepatic ducts. The classic symptoms of abdominal mass, pain and jaundice is rarely seen during childhood. Some children may not show symptoms for years. In most patients the diagnosis can be confirmed by using ultrasound pictures or by injecting a radioactive substance and performing a tomography scan which gives an "image" of the abnormal duct. Echinococcus granulosus is often seen in the pediatric surgical practice in endemic areas, and present with various clinical and surgical pictures such as obstructive jaundice. We had under our care a 2-year old girl who choledochal cyst with the posterior wall of choledochus, which resulted extrahepatic ductal obstruction and choledochus displaced anterolaterally. Any suspected radiologic lesion observed in infant, or child patient in an endemic area should be evaluated for hydatic cyst.©2008, Firat University, Medical Faculty.
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Abstract (Original Language): 
Koledok kisti ortak safra kanalının nadir konjenital kistik dilatasyonudur, sıklıkla intra-hepatik kanalların konjenital veya edinsel dilatasyonuyla birlikte görülür. Abdominal kitle, ağrı, sarılık klasik semptomları olup çocukluk çağında nadiren görülür. Bazı çocuklarda ise semptomlar yıllarca görülmeyebilir. Tanı ultrasonografi veya radyoaktif madde verilip, bilgisayarlı tomografide anormal kanal görüntüsüyle doğrulanabilir. Echinococcus granulosus endemik bölgelerde çocuk cerrahi kliniklerinde sık rastlanır ve tıkayıcı sarılık gibi değişik klinik ve cerrahi tablolarla karşımıza çıkar. Biz ekstahepatik kanalda tıkanıklık ve koledokun arka duvarında anterolateral yerleşim gösteren koledok kistine sahip 2 yaşında kız olguyu izledik.
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PDF icon arastrmx_135291_13_pp_147-149.pdf
  • 2
147-149
  • Turkish

REFERENCES

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