The Todani modification of the Alonso-Lei classification of choledochal cysts is shown. Choledochal cysts have most commonly been seen in the first decade of life, manifesting as abdominal mass, pain and jaundice. There is an increasing incidence of appearance in adults, with more insidious symptoms of stones, cholangitis, pancreatitis, cirrhosis, and in extreme cases portal hypertension or need for transplant. There is also a 15-25% chance of cholangiocarcinoma arising in such cysts. The malignant potential of the type III (intrapancreatic choledochocele) is uncertain. Most (80-90%) choledochal cysts are type I.
Link to this frame from your Personal Thumbnails page?
Click the "Update" button to save your Notes and Personal Thumbnails.