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Acute pancreatitis complicating choledochal cysts in children
Author(s) -
Muthucumaru Mathievathaniy,
Ljuhar Damir,
Panabokke Gayathri,
Paul Eldho,
Nataraja Ramesh,
Ferguson Peter,
Dagia Charuta,
Clarnette Tom,
King Sebastian
Publication year - 2017
Publication title -
journal of paediatrics and child health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.631
H-Index - 76
eISSN - 1440-1754
pISSN - 1034-4810
DOI - 10.1111/jpc.13380
Subject(s) - choledochal cysts , medicine , pancreatitis , acute pancreatitis , cyst , presentation (obstetrics) , surgery , gastroenterology
Aim To analyse the characteristics of patients with choledochal cysts presenting with acute pancreatitis. Methods Multicenter retrospective review of all paediatric patients (<18 years) with choledochal cysts managed over a 14‐year period (2001–2014) at two tertiary paediatric surgical centres. Patient data were analysed for demographics, presentation, radiological classification of cyst type (Todani), operative interventions, complications and long‐term follow‐up. Results A total of 49 patients with choledochal cysts were identified with 15 (31%) being Type I fusiform, 18 (37%) Type I cystic and 16 (32%) Type IV ‐A. Seventeen (35%) patients presented with acute pancreatitis, one having had an ante‐natally diagnosed choledochal cyst. Patients presenting with pancreatitis were older when compared to the non‐pancreatitis group (5.1 vs. 1.2 years, P = 0.005). Nine out of 16 (53%) patients with Type IV ‐A cysts presented with pancreatitis compared to five (33%) of Type I fusiform and three (17%) of Type I cystic. There was however no statistically significant association between Todani types and the development of pancreatitis (Type I fusiform, P = 1.0; Type I cystic, P = 0.063; Type IV ‐A, P = 0.053). The rate of complications was similar in both groups. Conclusion Pancreatitis was a common presentation in children with a choledochal cyst, however, there was no clear statistically significant association with Todani types and pancreatitis.