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  • Title: Todani choledochal cyst type II: case report and review.
    Author: Farías Molina SM, Castillo Machado RL, Sanhueza Palma NC, Calzadilla Riveras JA.
    Journal: Medwave; 2016 Oct 20; 16(9):e6583. PubMed ID: 27813504.
    Abstract:
    UNLABELLED: Choledochal cyst is a rare pathological condition, which represents 1% of benign diseases of the biliary tract. It is seen with significant frequency in childhood, with a higher prevalence in females, and a greater diagnostic incidence in Asia. Diagnosis is primarily based on clinical suspicion. Its symptoms are variable, and its treatment, depending on the type, is surgical. CASE REPORT: a male patient, 46 years old, with clinical symptoms of acute pancreatitis as a complication of a choledochal cyst Todani type II is diagnosed during his hospital stay with cholangial magnetic resonance. The patient recovers from the acute episode and undergoes a cystectomy with biliodigestive liver-jejunum bypass and a Roux-Y anastomosis. El quiste de colédoco es una condición patológica poco usual, que representa el 1% de las enfermedades benignas de la vía biliar. Se observa con significativa frecuencia durante la edad pediátrica, con prevalencia en el sexo femenino y mayor incidencia diagnóstica en el continente asiático. Su diagnóstico se basa principalmente en la sospecha clínica, cuya sintomatología es variable. Su resolución, que depende del tipo, es quirúrgica. Se presenta el caso clínico de un paciente masculino, 46 años, con cuadro clínico de pancreatitis aguda como complicación de quiste de colédoco Todani tipo II, diagnosticado durante su estancia hospitalaria con colangioresonancia. Evolucionó con resolución de su cuadro agudo favorablemente, por lo que se decidió quistectomía con derivación biliodigestiva hepático-yeyuno anastomosis en Y de Roux.
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