<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1405-0099</journal-id>
<journal-title><![CDATA[Cirujano general]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. gen]]></abbrev-journal-title>
<issn>1405-0099</issn>
<publisher>
<publisher-name><![CDATA[Asociación Mexicana de Cirugía General A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1405-00992020000100038</article-id>
<article-id pub-id-type="doi">10.35366/92710</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Quiste de colédoco]]></article-title>
<article-title xml:lang="en"><![CDATA[Choledochal cyst]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Olmos Casas]]></surname>
<given-names><![CDATA[Juan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Zavala]]></surname>
<given-names><![CDATA[Pedro Adrián]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cruz Robles]]></surname>
<given-names><![CDATA[Jeffery Anzhony]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Olmos Sosa]]></surname>
<given-names><![CDATA[Juan Enrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital General de Zona (HGZ) No. 36 Departamento de Cirugía General]]></institution>
<addr-line><![CDATA[Coatzacoalcos Veracruz]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital General de Zona No. 36 ]]></institution>
<addr-line><![CDATA[Coatzacoalcos Veracruz]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital General Regional No. 36 ]]></institution>
<addr-line><![CDATA[Puebla Puebla]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad Popular Autónoma del Estado de Puebla  ]]></institution>
<addr-line><![CDATA[Puebla Puebla]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<volume>42</volume>
<numero>1</numero>
<fpage>38</fpage>
<lpage>44</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992020000100038&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992020000100038&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992020000100038&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Objetivo:  Presentar el caso de un paciente con quiste de colédoco y su tratamiento, debido a su baja frecuencia y al riesgo elevado a desarrollar colangiocarcinoma. Presentación: mujer de 26 años con cuadro clínico de dolor abdominal en hipocondrio derecho y epigastrio, intolerancia a los colecistoquinéticos, además de ictericia conjuntival, acude a urgencias manejándose con analgésicos, se efectúa ultrasonido de hígado y vías biliares reportando vesícula normal, hígado normal, colédoco proximal de 7 mm, colédoco distal dilatado de 35 mm con microlitos en su interior. Se ingresa a piso y se solicitan exámenes de laboratorio, los cuales se reportaron normales. Se efectúa colangiopancreatografía retrógrada endoscópica reportando quiste de colédoco fusiforme tipo I, por lo que se programa para cirugía efectuándole resección del quiste más colecistectomía y hepaticoyeyunoanastomosis en Y de Roux con prolene del 3-0. Se encuentra quiste de colédoco de 6 x 4 cm que abarca desde el hepático común hasta páncreas. Evolucionó de manera satisfactoria, tolerando vía oral al cuarto día de operada, egresándose al séptimo día; es vista en la consulta con molestias propias de la cirugía, pero se encuentra anictérica y con herida quirúrgica bien cicatrizada, ultrasonido de control normal. Exámenes de laboratorio de control normales.  Conclusiones: Es un padecimiento poco frecuente. Se encuentra un caso entre 100,000 a l50,000, de predominio en los países asiáticos; 20 a 30% se diagnostica en adultos. Tiene una incidencia elevada de desarrollar colangiocarcinoma, de ahí la importancia de la resección del quiste. El tipo I continúa siendo el más frecuente, reportándose así en la literatura mundial.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Objective:  To present the case of a patient with choledochal cyst and its treatment, due to its low frequency and the high risk of developing cholangiocarcinoma. Presentation: A 26-year-old female with clinical signs of abdominal pain in the right hypochondrium and epigastrium, intolerance to cholecystokinetics, conjunctival jaundice, arrived to urgency with treatment analgesics, USG reporting normal vesicle, normal liver, proximal choledocholum 7 mm, dilated distal common bile duct of 35 mm with microliths inside, are admitted to the floor requesting exams reporting CBC, BC, TP, normal TPT, normal LFT, ERCP is reported, and type I choledochal cyst is scheduled for surgical intervention With the resection of the choledochal cyst and cholecystectomy as well as Roux-en-Y hepaticojejunostomy with prolene 3-0, a 6 x 4 cm choledochal cyst is found ranging from the common hepatic to pancreas, evolving satisfactorily, tolerating the oral route on the fourth day of surgery, leaving on the 7th day, is seen in the consultation, with discomfort of the surgery; being anicteric and with well-healed surgical wound, normal control USG. Control exams with normal CBC, BC, TP, TPT and LFT.  Conclusions:  It is an infrequent condition. One is found in 100,000 to 150,000, predominantly in Asian countries 20 to 30% is diagnosed in adults. It has a high incidence of developing cholangiocarcinoma, hence the importance of cyst resection. Type I continues to be the most frequent, reporting in the world literature.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Quiste de colédoco]]></kwd>
<kwd lng="es"><![CDATA[hepaticoyeyunoanastomosis]]></kwd>
<kwd lng="es"><![CDATA[conducto biliar]]></kwd>
<kwd lng="es"><![CDATA[colangiocarcinoma]]></kwd>
<kwd lng="es"><![CDATA[colangiopancreatografía retrograda endoscópica]]></kwd>
<kwd lng="en"><![CDATA[Choledochal cyst]]></kwd>
<kwd lng="en"><![CDATA[hepaticojejunostomy]]></kwd>
<kwd lng="en"><![CDATA[bile duct]]></kwd>
<kwd lng="en"><![CDATA[cholangiocarcinoma]]></kwd>
<kwd lng="en"><![CDATA[endoscopic retrograde cholangiopancreatography]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Alvarado-García]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Reza-Villa]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Uribe-Ramos]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Gallego-Grijalva]]></surname>
<given-names><![CDATA[JE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Quiste gigante de colédoco. Informe de un caso pediátrico]]></article-title>
<source><![CDATA[Cir Ciruj]]></source>
<year>2002</year>
<volume>70</volume>
<page-range>40-3</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Acevedo-Polakovich]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Rivas-Rivera]]></surname>
<given-names><![CDATA[IA]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez-López]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Quiste de colédoco: cuadro clínico, diagnóstico y tratamiento]]></article-title>
<source><![CDATA[Acta Med]]></source>
<year>2015</year>
<volume>13</volume>
<page-range>171-6</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Xia]]></surname>
<given-names><![CDATA[HT]]></given-names>
</name>
<name>
<surname><![CDATA[Wang]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Yang]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Liang]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Zeng]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
<name>
<surname><![CDATA[Dong]]></surname>
<given-names><![CDATA[JH]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Sphincter of Oddi dysfunction and the formation of adult choledochal cyst following cholecystectomy: a retrospective cohort study]]></article-title>
<source><![CDATA[Medicine (Baltimore)]]></source>
<year>2015</year>
<volume>94</volume>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fernández-Bobadilla]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Flores-Calderón]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Bernabé-García]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Lagarda-Cuevas]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Caracterización clínica de niños con quiste de colédoco]]></article-title>
<source><![CDATA[An Med (Mex)]]></source>
<year>2016</year>
<volume>61</volume>
<page-range>11-9</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fernández de Córdova]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Valverde-Guerrero]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Narváez-Ludeña]]></surname>
<given-names><![CDATA[GG]]></given-names>
</name>
<name>
<surname><![CDATA[Orellana-Cobos]]></surname>
<given-names><![CDATA[DF]]></given-names>
</name>
<name>
<surname><![CDATA[Vélez]]></surname>
<given-names><![CDATA[AP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Quiste de colédoco, reporte de caso en el Hospital &#8220;Vicente Corral Moscoso&#8221;]]></article-title>
<source><![CDATA[Rev Méd Hosp José Carrasco Arteaga]]></source>
<year>2014</year>
<volume>6</volume>
<page-range>180-3</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jiménez-Ballester]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Soria-Aledo]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Martín-Lorenzo]]></surname>
<given-names><![CDATA[JG]]></given-names>
</name>
<name>
<surname><![CDATA[Olalla-Muñoz]]></surname>
<given-names><![CDATA[JR]]></given-names>
</name>
<name>
<surname><![CDATA[Giménez-Bascuñana]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Alcaraz-Mateos]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Quiste de colédoco tipo II intrapancreático del adulto malignizado: duodenopancreatectomía]]></article-title>
<source><![CDATA[Rev Esp Enferm Dig]]></source>
<year>2014</year>
<volume>106</volume>
<page-range>223-6</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Xiao-dong]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Wang]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Liu]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Liu]]></surname>
<given-names><![CDATA[Q]]></given-names>
</name>
<name>
<surname><![CDATA[Qu]]></surname>
<given-names><![CDATA[Q]]></given-names>
</name>
<name>
<surname><![CDATA[Bing-lu]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The risk of carcinogenesis in congenital choledochal cyst patients: an analysis of 214 cases]]></article-title>
<source><![CDATA[Ann Hepatol]]></source>
<year>2014</year>
<volume>13</volume>
<page-range>819-26</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Baca]]></surname>
<given-names><![CDATA[PE]]></given-names>
</name>
<name>
<surname><![CDATA[Peralta]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Argüello]]></surname>
<given-names><![CDATA[BJ]]></given-names>
</name>
<name>
<surname><![CDATA[Castañeda]]></surname>
<given-names><![CDATA[OAB]]></given-names>
</name>
<name>
<surname><![CDATA[Hernández]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<name>
<surname><![CDATA[Ochoa]]></surname>
<given-names><![CDATA[GP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Tratamiento laparoscópico del quiste de colédoco en niños]]></article-title>
<source><![CDATA[Acta Med]]></source>
<year>2015</year>
<volume>13</volume>
<page-range>38-41</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[de Vries]]></surname>
<given-names><![CDATA[JS]]></given-names>
</name>
<name>
<surname><![CDATA[de Vries]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Aronson]]></surname>
<given-names><![CDATA[DC]]></given-names>
</name>
<name>
<surname><![CDATA[Bosman]]></surname>
<given-names><![CDATA[DK]]></given-names>
</name>
<name>
<surname><![CDATA[Rauws]]></surname>
<given-names><![CDATA[EA]]></given-names>
</name>
<name>
<surname><![CDATA[Bosma]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Choledochal cysts: age of presentation, symptoms, and late complications related to Todani&#8217;s classification]]></article-title>
<source><![CDATA[J Pediatr Surg]]></source>
<year>2002</year>
<volume>37</volume>
<page-range>1568-73</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chaurand-Lara]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Canto-Cervera]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Quistes de colédoco]]></article-title>
<source><![CDATA[Evid Med Invest Salud]]></source>
<year>2015</year>
<volume>8</volume>
<page-range>37-40</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Soares]]></surname>
<given-names><![CDATA[KC]]></given-names>
</name>
<name>
<surname><![CDATA[Arnaoutakis]]></surname>
<given-names><![CDATA[DJ]]></given-names>
</name>
<name>
<surname><![CDATA[Kamel]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Rastegar]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Anders]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Maithel]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Choledochal cysts: presentation, clinical differentiation, and management]]></article-title>
<source><![CDATA[J Am Coll Surg]]></source>
<year>2014</year>
<volume>219</volume>
<page-range>1167-80</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vivas-Colmenares]]></surname>
<given-names><![CDATA[GV]]></given-names>
</name>
<name>
<surname><![CDATA[Millán-López]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[De Agustín]]></surname>
<given-names><![CDATA[AJC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Optimización en la estrategia diagnóstica y terapéutica en el quiste de colédoco]]></article-title>
<source><![CDATA[Rev Chil Cir]]></source>
<year>2015</year>
<volume>67</volume>
<page-range>278-84</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Giha]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Redondo]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Quintero]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Quiste de colédoco: diagnóstico y manejo intraoperatorio]]></article-title>
<source><![CDATA[Pediatr]]></source>
<year>2016</year>
<volume>49</volume>
<page-range>64-7</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gadelhak]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Shehta]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Hamed]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Diagnosis and management of choledochal cyst: 20 years of single center experience]]></article-title>
<source><![CDATA[World J Gastroenterol]]></source>
<year>2014</year>
<volume>20</volume>
<page-range>7061-6</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Crisanto-Campos]]></surname>
<given-names><![CDATA[BA]]></given-names>
</name>
<name>
<surname><![CDATA[Torres-Ruíz]]></surname>
<given-names><![CDATA[MF]]></given-names>
</name>
<name>
<surname><![CDATA[Vázquez-Bailón]]></surname>
<given-names><![CDATA[IJ]]></given-names>
</name>
<name>
<surname><![CDATA[Dávila-Zenteno]]></surname>
<given-names><![CDATA[MR]]></given-names>
</name>
<name>
<surname><![CDATA[Arce-Liévano]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Cárdenas-Lailson]]></surname>
<given-names><![CDATA[LE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Quiste de colédoco en adultos: resección totalmente laparoscópica. Reporte de caso]]></article-title>
<source><![CDATA[Rev Mex Cir Endoscop]]></source>
<year>2013</year>
<volume>14</volume>
<page-range>38-42</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
