Abstract
We are not concerned here with the rather common intrahepatic biliary cysts, but with cysts that communicate with a major segment of bile duct. For a long time choledocal cysts (CCs) were considered to be congenital. But there are arguments for the secondary development of CCs above a ductal anomaly: as confirmed by endoscopic retrograde cholangiopancreatography (ERCP) (Wiedmeyer 1985), CCs develop above an abnormally long (average length 26 mm) common segment of the pancreatic and biliary ducts. This common segment is often dilated. Thus pancreatic enzymes may ascend within the common bile duct and alter its wall.
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References and Further Reading
Anacker H (1966) Erkrankungen der Leber, Gallen-wegsystem, Milz, Pfortaderkreisläufen und Pankreas. In: Haubrich R (ed) Klinische Roentgendiagnostik innerer Krankheiten. Springer, Berlin Heidelberg New York, pp. 227–373
Baer JW, Abiri M (1982) Right hepatic artery as a cause of pseudocalculus in the biliary tree. Gastrointest Radiol 7: 269–273
Barnett E, Morley P (1974) Abdominal echography. Butterworths, London
Berland LL, Lawson TL, Foley WD (1982) Porta hepatis: Sonographic discrimination of bile ducts from arteries with pulsed doppler with new anatomic criteria. AJR 138: 833–840
Bolondi L, Gaiani S, Testa S, Labò G (1985) Gallbladder sludge formation during prolonged fasting after gastrointestinal tract surgery. Gut 26: 734–738
Bruneton JN, Roux P, Fenart D, Caramella E, Ocelli JP (1981) Ultrasound evaluation of common bile duct size in normal adult patients and following cholecystectomy. Eur J Radiol 1: 171–172
Chang VH, Cunningham JJ, Fromkes JJ (1985) Sonographic measurement of the extrahepatic bile duct before and after retrograde cholangiography. AJR 144: 753–755
Cooperberg P, Wong P, Cohen MM, Burhenne HJ (1980) Accuracy of common hepatic duct size in the evaluation of extrahepatic biliary obstruction. Radiology 135: 141–144
Cunningham JJ (1983) Sonographic diameter of the common hepatic duct in sickle cell anemia. AJR 141:321–324
Dodds WJ, Groh WJ, Darweesh RMA, Lawson TL, Kishk SMA, Kern MK (1985) Sonographic measurement of gallbladder volume. AJR 145: 1009–1011
Ethier S, Fontaine A (1980) L’image de la tourelle. Un signe échographique utile dans l’obstruction biliaire basse. Union Med Can 109: 1204–1206
Farrell TA, Geraghty J, Keeling F (1993) Abdominal US following laparoscopic cholecystectomy — a prospective study. Clin Radiol 47:111–113
Ferin P, Lerner RL (1985) Contracted gallbladder: a finding in hepatic dysfunction. Radiology 154: 769–770
Fiske CE, Laing FC, Brown WT (1980) Ultrasonographic evidence of gallbladder wall thickening in association with hypoalbuminemia. Radiology 135: 769–770
Freise J, Gebel M, Kleine P (1985) Diameter of the common bile duct: reasons for the different values determined by ultrasound and endoscopic retrograde cholangiography. 5th World congress of ultrasound (WFUMB), July 1985, Sydney, abstract p 130
Rice J, Sauerbrei EE, Semogas P, Cooperberg PL, Burhenne HJ (1981) Sonographic appearance of adenomyomatosis of the gallbladder. J Clin Ultrasound 9: 336–337
Schulte SJ, Baron RL, Teefey SA (1990) CT of the extrahepatic bile ducts: Wall thickness and contrast enhancement in normal and abnormal ducts. AJR 154: 79–85
Shea WJ Jr, Demas BE, Goldberg HI, Hohn DC, Ferrell LD, Kerlan RK (1986) Sclerosing cholangitis associated with hepatic arterial FUDR chemotherapy: radiographic-histologic correlation. AJR 146: 717–721
Teefey SA, Baron RL, Rohrman CA et al. (1988) Sclerosing cholangitis: CT findings. Radiology 169: 635–639
Teixidor HS, Honig CL, Norsoph E, Albert S, Mouradian JA, Whalen JP (1987) Cytomegalovirus infection of the alimentary canal: radiologic findings with pathologic correlation. Radiology 163: 317–323
Weill F (1977) Ultrasonographic digestive abdominale. Enycl Méd Chir Radiodiagnostic IV, fasc 33506 E 10: 85
Weill F (1978) Ultrasonography of digestive diseases, 1st edn. Mosby, St. Louis
Weill F (1980) L’ultrasonographic en pathologie digestive, 2nd edn. Vigot, Paris
Weill F, Becker JC, Kraehenbuhl JR, Heriot G, Walter JP (1973) Atlas clinique de radiographie ultrasonore. Masson, Paris
Weill F, Eisenscher A, Zeltner F, Rohmer P, Bihr E, Sauget G (1979) Aspects ultrasonores des cancers de la vésicule biliaire. Ann Radiol 22: 17–21
Weiner SN, Koenigsberg M, Morehouse H, Hoffman J (1984) Sonography and computed tomography in the diagnosis of carcinoma of the gallbladder. AJR 142: 735–739
Wiedmeyer DA, Stewart ET, Dodds WJ (1989) Choledocal cysts: findings on CP with emphasis on ectasia of common channel. AJR 153: 969–972
Yeh HC (1979) Ultrasonography and computed tomography of carcinoma of the gallbladder. Radiology 133: 167–173
Yoshida H, Itai S, Minami M et al. (1989) Biliary malignances occurring in choledocal cysts. Radiology 173: 389–392
Yum HY, Fink AH (1980) Sonographic findings in primary carcinoma of the gallbladder. Radiology 134: 693–696
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Weill, F.S. (1996). Rare Abnormalities of the Bile Ducts, Congenital Anomalies, and Tumors. In: Ultrasound Diagnosis of Digestive Diseases. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-61045-5_17
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DOI: https://doi.org/10.1007/978-3-642-61045-5_17
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