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Archivos de Pediatría del Uruguay

On-line version ISSN 1688-1249


MACHADO, Karina; CASCINO, Cristina; GHIONE, Andrea  and  MONTANO, Alicia. Quiste de colédoco: Presentación en un lactante con fiebre. Arch. Pediatr. Urug. [online]. 2011, vol.82, n.1, pp.23-28. ISSN 1688-1249.

Summary The cyst of common bile duct (QC) is a rare congenital malformation characterized by dilation of the biliary tree. It is diagnosed in most cases during early childhood, although it can occur at any age of life. The clinical presentation is variable, and can manifest itself through abdominal pain, palpable mass and cholestatic jaundice, or symptoms related to the development of some of its complications: pancreatitis, cholangitis or rupture. The diagnosis is made through an abdominal ultrasound and is completed with a colangio- pancreatography by magnetic resonance imaging. The recommended treatment is complete surgical resection, which prevents the appearance of complications. These patients should be evaluated regularly for the risk of malignancy, even after the surgery.   The clinical case that is presented is of an infant of three months, who in the course of an acute febrile illness presented signs of partial biliary obstruction, and was diagnosed with a fusiform QC with likely cholangitis. Empirical antibiotic treatment, with good evolution began. It draws attention to the unusual presentation of this malformation of bile duct in infants, which requires surgery for its definite treatment


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