TY  - JOUR
T1  - MAnagement dilemmas with choledochal cysts
AU  - Metcalfe MS, Wemyss-Holden SA, Maddern GJ
Y1  - 2003/03/01
N1  - 10.1001/archsurg.138.3.333
JO  - Archives of Surgery
SP  - 333
EP  - 339
VL  - 138
IS  - 3
N2  - Context 
    Choledochal cysts are rare and of unknown cause. Their presentation is protean, with the classical triad of pain, jaundice, and mass rarely seen. The potential complications are serious, including pancreatitis, cholangitis, and cholangiocarcinoma.Objective 
    To present the current experience and evidence relating to all aspects of choledochal cysts to derive appropriate management recommendations.Methods 
    Review of relevant literature in the English language indexed on MEDLINE.Results 
    The elaboration of the classification of choledochal cysts. We describe the modes of presentation and optimal investigation and summarize the current theories on etiology and malignant transformation. The results of different management strategies are presented.Conclusions 
    Choledochal cysts are often detected during the investigation of nonspecific symptoms, or even incidentally detected. Magnetic resonance imaging is the best imaging modality for the diagnosis and characterization of these cysts. Complete excision and hepaticojejenostomy is the management of choice.
SN  - 0004-0010
M3  - doi: 10.1001/archsurg.138.3.333
UR  - http://dx.doi.org/10.1001/archsurg.138.3.333
ER  -