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Submitted: 16 May 2007 Modified: 10 September 2019
HERDIN Record #: PCHRDPC931599

Choledochal cyst: A seven-year review of the clinical and diagnostic features among Filipino children.

Germana Emerita Gregorio ,
Juliet O. Sio

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A seven-year retrospective study was undertaken to determine the clinical symptomatology and diagnostic features of pediatric patients with choledochal cyst at the Philippine General Hospital. A review of the medical records of thirteen patients revealed that: (1) the mean age at diagnosis was 4.99 + 5.02 years; (2) the most common presenting symptom was abdominal pain as seen in 62% of patients; (3) the clinical tried of intermittent jaundice, abdominal pain and right upper quadrant mass was present in only 38% of patients and (4) ultrasonography was the most reliable diagnostic modality, providing the pre-operative diagnosis in 85% of patients Surgical interventions were performed in all patients. Complications of the disease observed in 54% of patients included ascending cholangitis, biliary cirrhosis and hepatic encephalophaty The epidemiologic and laboratory features were comparable with those reported in world literature. This study emphasizes the importance of a high index of suspicion in the diagnosis of the disease in order to minimize the risks of complications. Ultrasonography is a mandatory screening procedure for patients with cholestatic jaundice and can readily exclude potentially treatable extrahepatic cholestasis.

Publication Type
Journal
Publication Sub Type
Journal Article, Original
Title
Acta Medica Philippina
Frequency
Quarterly
Publication Date
October-December 1991
Volume
27
Issue
4
Page(s)
274-280
LocationLocation CodeAvailable FormatAvailability
Philippine Council for Health Research and Development Library Box No. 106 Fulltext Print Format (Request Document)
Philippine Council for Health Research and Development Fulltext pdf (Request Document)
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