Choledochal Cysts (cont.)
How are choledochal cysts diagnosed?
Choledochal cysts can be diagnosed in several ways. The most common is by
ultrasonography.
The second most common way is by cholangiography, that is, the
filling of the bile ducts with dye followed by x-ray imaging. The dye
may be injected by a long needle directly into the bile ducts by advancing the
needle through the skin and liver into the ducts or with an
endoscopically-placed catheter from the duodenum through the Papilla of Vater
(the point at which the bile duct enters the
small intestine, also known as the Ampulla of Vater).
The
most recent technique for identifying choledochal cysts is magnetic resonance
imaging, also known as MRI.
How are choledochal cysts treated?
The best way of treating choledochal cysts is to
surgically remove them and reconstruct the bile ducts that were affected. The
cyst should be completely removed whenever possible. If the ducts cannot be
reconstructed, they should be sewn to the intestine so that bile can drain
freely out of the ducts.
Last Editorial Review: 10/13/2008
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