Advances in pediatric surgery

Korean Association of Pediatric Surgeons (대한소아외과학회)
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Malignant Degeneration and Hepatic Metastasis Ten Years after Internal Drainage of a Choledochal Cyst - a Case Report -

내배액술을 시행한 담관 낭종에서 발생한 악성 변성 및 간 전이 - 1예 보고 -

  • Ji, Moon-Jong (Department of Surgery, School of Medicine, Kyungpook National University) ;
  • Yoon, Hyuk-Jin (Department of Surgery, School of Medicine, Kyungpook National University) ;
  • Kang, Shin-Yong (Department of Surgery, School of Medicine, Kyungpook National University) ;
  • Park, Jin-Young (Department of Surgery, School of Medicine, Kyungpook National University)
  • 지문종 (경북대학교 의과대학 외과학교실) ;
  • 윤혁진 (경북대학교 의과대학 외과학교실) ;
  • 강신용 (경북대학교 의과대학 외과학교실) ;
  • 박진영 (경북대학교 의과대학 외과학교실)
  • Published : 2005.12.31
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Abstract

A 10-year-old-girl was referred to our hospital due to abdominal pain. She underwent Roux-en-Y cystojejunostomy for a choledochal cyst at another hospital at the age of 3 months. Abdominal ultrasonography (USG) and computed tomography (CT) showed type I choledochal cyst and multiple gallbladder stones. Because of severe inflammation and adhesion, partial resection of the choledochal cyst and Roux-en-Y hepaticojejunostomy was performed. Two and one half years later, intermittent abdominal pain, fever, nausea and vomiting occured. Abdominal CT scan showed a polypoid nodular lesion in the remnant of the choledochal cyst and probable metastasis at segment 7 of the liver. The duodenum was obstructed by the mass. Liver biopsy revealed moderately differentiated adenocarcinoma. A palliative gastrojejunostomy was performed to relieve duodenal obstruction. She died of hepatic insufficiency 4 months later.

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