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KEY FACTS
Terminology
Imaging
Pathology
Clinical Issues
TERMINOLOGY
Synonyms
Biliary cyst
Definitions
Choledochal cyst: Congenital, segmental, cystic dilatation of intrahepatic or extrahepatic bile ducts, most commonly affecting main portion of extrahepatic duct (ED)
Anomalous pancreaticobiliary junction (APBJ): Long common channel (> 15 mm) between common bile duct (CBD) and pancreatic duct outside of duodenum
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Ultrasonographic Findings
Nuclear Medicine Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Aboughalia H et al: Pediatric biliary disorders: multimodality imaging evaluation with clinicopathologic correlation. Clin Imaging. 75:34-45, 2021
Welle CL et al: Advances in MR imaging of the biliary tract. Magn Reson Imaging Clin N Am. 28(3):341-52, 2020
Baison GN et al: Choledochal cysts: similarities and differences between Asian and Western countries. World J Gastroenterol. 25(26):3334-43, 2019
Soares KC et al: Pediatric choledochal cysts: diagnosis and current management. Pediatr Surg Int. 33(6):637-50, 2017
Le Roy B et al: Pancreaticobiliary maljunction and choledochal cysts: from embryogenesis to therapeutics aspects. Surg Radiol Anat. 38(9):1053-60, 2016
Lewis VA et al: Imaging of choledochal cysts. Abdom Imaging. 40(6):1567-80, 2015
Law R et al: Diagnosis and treatment of choledochoceles. Clin Gastroenterol Hepatol. 12(2):196-203, 2014
Martin RF: Biliary cysts: a review and simplified classification scheme. Surg Clin North Am. 94(2):219-32, 2014
Soares KC et al: Choledochal cysts: presentation, clinical differentiation, and management. J Am Coll Surg. 219(6):1167-80, 2014
Tirumani SH et al: Imaging of the porta hepatis: spectrum of disease. Radiographics. 34(1):73-92, 2014
Liu QY et al: MRI manifestations of adult choledochal cysts associated with biliary malignancy: a report of ten cases. Abdom Imaging. 38(5):1061-70, 2013
Saluja SS et al: Management of choledochal cysts and their complications. Am Surg. 78(3):284-90, 2012
Ulas M et al: Management of choledochal cysts in adults: a retrospective analysis of 23 patients. Hepatogastroenterology. 59(116):1155-9, 2012
Vachha B et al: Cystic lesions of the liver. AJR Am J Roentgenol. 196(4):W355-66, 2011
Venkatanarasimha N et al: Imaging features of ductal plate malformations in adults. Clin Radiol. 66(11):1086-93, 2011
Lee HK et al: Imaging features of adult choledochal cysts: a pictorial review. Korean J Radiol. 10(1):71-80, 2009
Chavhan GB et al: Pediatric MR cholangiopancreatography: principles, technique, and clinical applications. Radiographics. 28(7):1951-62, 2008
Brancatelli G et al: Fibropolycystic liver disease: CT and MR imaging findings. Radiographics. 25(3):659-70, 2005
Dohke M et al: Anomalies and anatomic variants of the biliary tree revealed by MR cholangiopancreatography. AJR Am J Roentgenol. 173(5):1251-4, 1999
Govil S et al: Choledochal cysts: evaluation with MR cholangiography. Abdom Imaging. 23(6):616-9, 1998
Irie H et al: Value of MR cholangiopancreatography in evaluating choledochal cysts. AJR Am J Roentgenol. 171(5):1381-5, 1998
Matos C et al: Choledochal cysts: comparison of findings at MR cholangiopancreatography and endoscopic retrograde cholangiopancreatography in eight patients. Radiology. 209(2):443-8, 1998
Kim OH et al: Imaging of the choledochal cyst. Radiographics. 15(1):69-88, 1995
Rizzo RJ et al: Congenital abnormalities of the pancreas and biliary tree in adults. Radiographics. 15(1):49-68; quiz 147-8, 1995
Ebel KD et al: Choledochal cysts: classification and cholangiographic appearance. AJR Am J Roentgenol. 159(3):674-5, 1992
Todani T et al: Congenital bile duct cysts: Classification, operative procedures, and review of thirty-seven cases including cancer arising from choledochal cyst. Am J Surg. 134(2):263-9, 1977
Related Anatomy
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Pathology
Clinical Issues
TERMINOLOGY
Synonyms
Biliary cyst
Definitions
Choledochal cyst: Congenital, segmental, cystic dilatation of intrahepatic or extrahepatic bile ducts, most commonly affecting main portion of extrahepatic duct (ED)
Anomalous pancreaticobiliary junction (APBJ): Long common channel (> 15 mm) between common bile duct (CBD) and pancreatic duct outside of duodenum
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Ultrasonographic Findings
Nuclear Medicine Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Aboughalia H et al: Pediatric biliary disorders: multimodality imaging evaluation with clinicopathologic correlation. Clin Imaging. 75:34-45, 2021
Welle CL et al: Advances in MR imaging of the biliary tract. Magn Reson Imaging Clin N Am. 28(3):341-52, 2020
Baison GN et al: Choledochal cysts: similarities and differences between Asian and Western countries. World J Gastroenterol. 25(26):3334-43, 2019
Soares KC et al: Pediatric choledochal cysts: diagnosis and current management. Pediatr Surg Int. 33(6):637-50, 2017
Le Roy B et al: Pancreaticobiliary maljunction and choledochal cysts: from embryogenesis to therapeutics aspects. Surg Radiol Anat. 38(9):1053-60, 2016
Lewis VA et al: Imaging of choledochal cysts. Abdom Imaging. 40(6):1567-80, 2015
Law R et al: Diagnosis and treatment of choledochoceles. Clin Gastroenterol Hepatol. 12(2):196-203, 2014
Martin RF: Biliary cysts: a review and simplified classification scheme. Surg Clin North Am. 94(2):219-32, 2014
Soares KC et al: Choledochal cysts: presentation, clinical differentiation, and management. J Am Coll Surg. 219(6):1167-80, 2014
Tirumani SH et al: Imaging of the porta hepatis: spectrum of disease. Radiographics. 34(1):73-92, 2014
Liu QY et al: MRI manifestations of adult choledochal cysts associated with biliary malignancy: a report of ten cases. Abdom Imaging. 38(5):1061-70, 2013
Saluja SS et al: Management of choledochal cysts and their complications. Am Surg. 78(3):284-90, 2012
Ulas M et al: Management of choledochal cysts in adults: a retrospective analysis of 23 patients. Hepatogastroenterology. 59(116):1155-9, 2012
Vachha B et al: Cystic lesions of the liver. AJR Am J Roentgenol. 196(4):W355-66, 2011
Venkatanarasimha N et al: Imaging features of ductal plate malformations in adults. Clin Radiol. 66(11):1086-93, 2011
Lee HK et al: Imaging features of adult choledochal cysts: a pictorial review. Korean J Radiol. 10(1):71-80, 2009
Chavhan GB et al: Pediatric MR cholangiopancreatography: principles, technique, and clinical applications. Radiographics. 28(7):1951-62, 2008
Brancatelli G et al: Fibropolycystic liver disease: CT and MR imaging findings. Radiographics. 25(3):659-70, 2005
Dohke M et al: Anomalies and anatomic variants of the biliary tree revealed by MR cholangiopancreatography. AJR Am J Roentgenol. 173(5):1251-4, 1999
Govil S et al: Choledochal cysts: evaluation with MR cholangiography. Abdom Imaging. 23(6):616-9, 1998
Irie H et al: Value of MR cholangiopancreatography in evaluating choledochal cysts. AJR Am J Roentgenol. 171(5):1381-5, 1998
Matos C et al: Choledochal cysts: comparison of findings at MR cholangiopancreatography and endoscopic retrograde cholangiopancreatography in eight patients. Radiology. 209(2):443-8, 1998
Kim OH et al: Imaging of the choledochal cyst. Radiographics. 15(1):69-88, 1995
Rizzo RJ et al: Congenital abnormalities of the pancreas and biliary tree in adults. Radiographics. 15(1):49-68; quiz 147-8, 1995
Ebel KD et al: Choledochal cysts: classification and cholangiographic appearance. AJR Am J Roentgenol. 159(3):674-5, 1992
Todani T et al: Congenital bile duct cysts: Classification, operative procedures, and review of thirty-seven cases including cancer arising from choledochal cyst. Am J Surg. 134(2):263-9, 1977
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