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Khirurgii

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Year 2023 Vol. 31 No 5

CASE REPORTS

V.N. CHERNIAKOV, E.A. LENIVKO, A.Y. TOLSTIK

CURRENT ASPECTS OF DIAGNOSTICS OF BILE CHOLEDOCHAL CYSTS. CLINICAL CASE FROM PRACTICE

Brest City Emergency Hospital, Brest,
The Republic of Belarus

The article describes a rare clinical case from practice. Choledochal cysts (type 4a) was firstly diagnosed in a 64-year-old woman who had been experiencing periodic abdominal pain and a number of other unpleasant gastrointestinal symptoms for many years, the cause of which remained unknown. The patient’s admission to the emergency hospital was associated with a sharp increase of the pain syndrome intensity and the sudden development of jaundice. Despite the completely nonspecific clinical picture, using a complex of current visualization methods the cause of this condition was identified - cystic dilatation of the choledochal cyst and the presence of choledocholithiasis. The stages of a diagnostic search, which make it possible to clarify the location, morphological type, and size of the cyst, which is decisive for the choice of treatment tactics and management of such patients are described; the high efficiency of therapeutic and diagnostic endoscopic techniques, which are today the leading minimally invasive interventions in the elimination of choledocholithiasis is demonstrated.

Keywords: choledochal cyst, choledocholithiasis, jaundice, magnetic resonance tomography, endoscopic retrograde cholangiopancreatography
p. 405-410 of the original issue
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Address for correspondence:
224005, Republic of Belarus,
Brest, Lenin st., 15,
Brest City Emergency Hospital
tel.: +375 (29) 825-71-90,
e-mail: kate_len@mail.ru,
Lenivko Ekaterina A.
Information about the authors:
Chernyakov Vadim Nikolaevich, Endoscopist of the Highest Qualification Category, Head of the Endoscopic Department of the Brest City Emergency Hospital, Brest, Republic of Belarus.
https://orcid.org/0009-0005-2878-362X
Lenivko Ekaterina Aleksandrovna, Endoscopist of the First Qualification Category, Endoscopist of the Endoscopic Department of the Brest City Emergency Hospital, Brest, Republic of Belarus.
https://orcid.org/0009-0006-2282-1557
Tolstik Alexander Yurievich, Surgeon of the First Qualification Category, Surgeon of the First Surgical Department of the Brest City Emergency Hospital, Brest, Republic of Belarus.
https://orcid.org/0009-0002-9555-3793
Contacts | ©Vitebsk State Medical University, 2007-2023