Brief Reports
Copyright ©The Author(s) 2004.
World J Gastroenterol. Oct 15, 2004; 10(20): 3065-3069
Published online Oct 15, 2004. doi: 10.3748/wjg.v10.i20.3065
Table 1 diagnostic and therapeutic challenge to a broad
TypeSize (cm)Chief ComplaintsTreatment
Survival time (postoperation)Prognosis (postoperation)
No.Age(yr)Initial operationFinal operationEarlyLate
127IV12 × 9 × 10Abdominal pain Jaundice Abdominal massRoux-en-Y cystojejunostomy with T-tube external drainageSeptic shock and multi-organ failure25 ddied
223IV15 × 16 × 3Abdominal pain JaundicePlasement and fixation of a catheterizationRoux-en-Y cystojejunostomy15 yrsurvived
326I20 × 20 × 20Jaundice Abdominal massRoux-en-Y cystojejunostomyExploratory biopsyRetrograde cholangitisIntermittent recurrence of Retrograde cholangitis Cholangioadenocarcinoma10 yrdied
Table 2 Analysis of pre-operation laboratory values for 3 patients
ParametersNormal rangePatient No. 1Patient No. 2Patient No. 3
Total bilirubin (μmol/L)1.6-20.6595726
Direct bilirubin (μmol/L)0-
Alkaline phosphatase (U/L)35-15017163110
r-GT (U/L)0-60515826
Aspartate aminotranferase (U/L)0-40373737
Alanine aminotranferase (U/L)0-40511102
Total protein (g/L)60-85406755
Albumin (g/L)35-55183932
Globin (g/L)-222523
Potassium (mmol/L)3.5-
Sodium (mmol/L)135-145134128139
Chloride (mmol/L)101-11189.396.9105
Hemoglobin (g/L)120-16074150122
Erythrocyte (1012/L)3.5-
Hemoleukocyte (109/L)3.5-
Platelet (109/L)100-30092177128
Table 3 Todani modification of the Alonso-Lej, classification system of choledochal cyst
Type IFusiform dilation of the extrahepatic bile duct
Type IISingle saccular dilation or diverticulum of the extrahepatic bile duct
Type IIIDilation of the intraduodenal portion of the bile duct
Type IVaCombined intra-and extrahepatic dilation of the bile duct
Type IVbMultiple dilations of the extrahepatic bile duct
Type VIsolated or diffuse intrahepatic biliary dilation (Caroli’s disease when associated with hepatic fibrosis)