Coledocolitiasis múltiple y colangitis en paciente con quiste de colédoco, a propósito de un caso .

摘要

Introduction: Choledochal cysts (CCs) is a rare disease characterized by dilatation of theintrahepatic or extrahepatic bile duct, which is about 1% of all benign biliary lesions. Its incidenceis 1:100,000 to 150,000 habitants. It is more common in females, and its etiology isunknown. In adults the symptoms are nonspecific, predominantly abdominal pain and jaundice.Case Report: 61 year old female patient with three days of severe abdominal colic inthe right upper quadrant, whit both vomiting and jaundice. On admission, she presentsleukocytosis, hyperbilirubinemia, and increased levels of alkaline phosphatase, transaminasesand amylase. Diagnosis of obstructive jaundice, pancreatitis and complicated hydatidcyst arising. The abdominal CT Scan reveals intra and extrahepatic saccular dilatations,compatible with a type IV-a CCs. Both cholecystectomy and T-tube choledochotomy weredone by evolution to cholangitis with favorable results and satisfactory postoperative. Discussion:CCs is a rare cause of obstructive jaundice, and in this regard, there are few datadescribed in Chile, Its diagnosis requires a high index of suspicion because of its nonspecificsymptoms found mostly in adults. Despite this, the diagnosis is determined with laboratoryfindings consistent with cholestatic jaundice and support diagnostic imaging such asultrasound, CT Scan, among others. Although the imaging findings, it may not be detected.