Skip to main content

Choledochal Cysts and Fibrocystic Diseases of the Liver

  • Chapter
  • First Online:
Diseases of the Liver in Children
  • 1759 Accesses

Abstract

Cholangiocyte differentiation and biliary development rely on complex interactions between cellular signaling, cholangiocyte biology, genetics, and extra-biliary influences. Alteration of or disruptions to any of the normal developmental processes may result in one of a number of liver and biliary diseases characterized by fibrosis. Many of the primary biliary fibrosing diseases also present with variable cystic dilation of the biliary system, commonly contributing to the symptoms that bring these conditions to clinical attention. This chapter will review the normal biliary development and most basic of cholangiocyte biology as a background to understand the pathogenesis of the most common biliary cystic conditions and fibrocystic diseases of the liver. As separate chapters are devoted to biliary atresia, conditions associated with intrahepatic paucity of the bile ducts, and chronic inflammatory hepatopathies that can lead to fibrosis, these conditions will not be reviewed here.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 139.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 179.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Jung J, et al. Initiation of mammalian liver development from endoderm by fibroblast growth factors. Science. 1999;284(5422):1998–2003.

    Article  PubMed  CAS  Google Scholar 

  2. Rossi JM, et al. Distinct mesodermal signals, including BMPs from the septum transversum mesenchyme, are required in combination for hepatogenesis from the endoderm. Genes Dev. 2001;15(15):1998–2009.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  3. Murray KF, Larson AM. Embryology and development of the ductal plate. In: Wu GY, editor. Fibrocystic diseases of the liver. 1st ed, vol. 1. Farmington: Humana Press; 2010. p. 3–22.

    Google Scholar 

  4. Roskams T, Desmet V. Embryology of extra- and intrahepatic bile ducts, the ductal plate. Anat Rec. 2008;291(6):628–35.

    Article  CAS  Google Scholar 

  5. Lecchi S, et al. Cholangiocyte biology as relevant to cystic liver diseases. In: Murray KF, Larson AM, editors. Fibrocystic diseases of the liver. Farmington: Humana Press; 2010. p. 23–43.

    Chapter  Google Scholar 

  6. Strazzabosco M, Fabris L. Functional anatomy of normal bile ducts. Anat Rec. 2008;291:653–60.

    Article  Google Scholar 

  7. Masyuk AI, et al. Cholangiocyte cilia detect changes in luminal fluid flow and transmit them into intracellular Ca2+ and cAMP signaling. Gastroenterology. 2006;131:911–20.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  8. Caremani M, et al. Ecographic epidemiology of non-parasitic hepatic cysts. J Clin Ultrasound. 1993;21:115–8.

    Article  PubMed  CAS  Google Scholar 

  9. Vater A, Ezler C. Dissertatio de scirhis viscerum occasione sectionis viri tympanite defunte. Wittenburgae. 1723;881:22.

    Google Scholar 

  10. Alonso-Lej F, Revor WB, Pessagno DJ. Congenital choledochal cyst, with a report of 2, and an analysis of 94 cases. Surg Gynecol Obstet Int Abstr Surg. 1959;108:1–30.

    CAS  Google Scholar 

  11. Todani T, et al. Congenital bile duct cyst: classification, operative procedures, and review of 37 cases including cancer arising from choledochal cyst. Am J Surg. 1977;137:263–9.

    Article  Google Scholar 

  12. Kim SH. Choledochal cysts: survey by the surgical section of the American Academy of Pediatrics. J Pediatr Surg. 1981;16:402–7.

    Article  PubMed  CAS  Google Scholar 

  13. Todani T, et al. Carcinoma related to choledochal cysts with internal drainage operations. Surg Gynecol Obstet. 1987;164(1):61–4.

    PubMed  CAS  Google Scholar 

  14. Bismut H, Krissat J. Choledochal cysts malignancies. Ann Oncol. 1999;10 Suppl 4:S94–8.

    Article  Google Scholar 

  15. Voyles CR, et al. Carcinoma in choledochal cysts: age-related incidence. Arch Surg. 1983;118(8):986–8.

    Article  PubMed  CAS  Google Scholar 

  16. Ko JS, et al. Pediatric liver transplantation for fibropolycystic liver disease. Pediatr Transplant. 2012;16:195–200.

    Article  PubMed  Google Scholar 

  17. Kerr DNS, et al. Congenital hepatic fibrosis. Q J Med. 1961;30:91–117.

    PubMed  CAS  Google Scholar 

  18. Bergmann C, et al. Clinical consequences of PKHD1 mutations in 164 patients with autosomal recessive polycystic kidney disease (ARKPD). Kidney Int. 2005;67(3):829–48.

    Article  PubMed  CAS  Google Scholar 

  19. Gunay-Aygun M, et al. Characteristics of congenital hepatic fibrosis and a large cohort of patients with autosomal recessive polycystic kidney disease. Gastroenterology. 2013;144(1):112–21.

    Article  PubMed  Google Scholar 

  20. Srinath A, Shneider BL. Congenital hepatic fibrosis and autosomal recessive polycystic kidney disease. J Pediatr Gastroenterol Nutr. 2012;54(5):580–7.

    Article  PubMed  Google Scholar 

  21. Giovanardi RO. Monolobar Caroli’s disease in an adult. Case report. Hepatogastroenterology. 2003;50(54):2185–7.

    PubMed  Google Scholar 

  22. Guay-Woodford LM, Desmond RA. Autosomal recessive polycystic kidney disease: the clinical experience in North America. Pediatrics. 2003;111(5 Pt 1):1072–80.

    Article  PubMed  Google Scholar 

  23. Gunay-Aygun M, et al. Autosomal recessive polycystic kidney disease and congenital hepatic fibrosis: summary statement of a first National Institutes of Health/Office of Rare Diseases conference. J Pediatr. 2006;149(2):159–64.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Millwala F, Segev DL, Thuluvath PJ. Caroli’s disease and outcomes after liver transplantation. Liver Transpl. 2008;14(1):11–7.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Karen F. Murray MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2014 Springer Science+Business Media New York

About this chapter

Cite this chapter

Murray, K.F. (2014). Choledochal Cysts and Fibrocystic Diseases of the Liver. In: Murray, K., Horslen, S. (eds) Diseases of the Liver in Children. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-9005-0_14

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-9005-0_14

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-9004-3

  • Online ISBN: 978-1-4614-9005-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics