usfdУльтразвуковая и функциональная диагностикаUltrasound & Functional Diagnostics1607-07712408-9494RDS-Media Ltd.10.24835/1607-0771-437usfd-437Research ArticleУльтразвуковая диагностика в педиатрииPediatric UltrasoundЛучевая диагностика холедохоцеле в детском возрасте (описание случая и обзор литературы)Imaging of choledochocele in children (a case report and literature review)https://orcid.org/0000-0003-2348-221XФеоктистоваЕ. В.FeoktistovaE. V.

Феоктистова Елена Владимировна – канд. мед. наук, заведующая отделением ультразвуковой и функциональной диагностики Российской детской клинической больницы – филиала ФГАОУ ВО РНИМУ им. Н.И. Пирогова Минздрава России (Пироговский Университет);доцент кафедры ультразвуковой диагностики, доцент кафедры детской хирургии ФГАОУ ВО РНИМУ им. Н.И. Пирогова Минздрава России (Пироговский Университет), Москваhttps://orcid.org/0000-0003-2348-221X

Elena V. Feoktistova – MD, PhD (Med.), Head of the Department of Ultrasound and Functional Diagnostics at the Russian Children’s Clinical Hospital – branch of the Pirogov Russian National Research Medical University;Associate Professor of the Department of Ultrasound Diagnostics, Associate Professor of the Department of Pediatric Surgery at the Pirogov Russian National Research Medical University, Moscowhttps://orcid.org/0000-0003-2348-221X

9433672@mail.ruhttps://orcid.org/0000-0002-7145-4152СтепановЭ. А.StepanovA. E.

Степанов Алексей Эдуардович – канд. мед. наук, врач-детский хирург детского хирургического отделения Российской детской клинической больницы – филиала ФГАОУ ВО РНИМУ им. Н.И. Пирогова Минздрава России (Пироговский Университет), Москваhttps://orcid.org/0000-0002-7145-4152

Aleksey E. Stepanov – MD, PhD (Med.), pediatric surgeon, Department of pediatric surgery at the Russian Children’s Clinical Hospital – branch of the Pirogov Russian National Research Medical University, Moscowhttps://orcid.org/0000-0002-7145-4152

https://orcid.org/0000-0001-8192-005XПетровД. А.PetrovD. A.

Петров Дионисий Александрович – канд. мед. наук, врач-детский хирург, врач-эндоскопист, заведующий детским хирургическим отделением Российской детской клинической больницы – филиала ФГАОУ ВО РНИМУ им. Н.И. Пирогова Минздрава России (Пироговский Университет);старший научный сотрудник отдела детской реконструктивной и пластической хирургии института материнства и детства ФГАОУ ВО РНИМУ им. Н.И. Пирогова Минздрава России (Пироговский Университет), Москваhttps://orcid.org/0000-0001-8192-005X

Dionisiy A. Petrov – MD, PhD (Med.), Head of the Department of pediatric surgery, at the Russian Children’s Clinical Hospital – branch of the Pirogov Russian National Research Medical University;  senior researcher at the Department of pediatric, reconstructive and plastic surgery, Institute of maternity and childhood, Pirogov Russian National Research Medical University, Moscowhttps://orcid.org/0000-0001-8192-005X

dionisiy.petrov@gmail.comhttps://orcid.org/0009-0000-5675-8353СтаховаМ. Б.StakhovaM. B.

Стахова Марина Борисовна – врач ультразвуковой диагностики отделения ультразвуковой и функциональной диагностики Российской детской клинической больницы – филиала ФГАОУ ВО РНИМУ им. Н.И. Пирогова Минздрава России (Пироговский Университет), Москваhttps://orcid.org/0009-0000-5675-8353

Marina B. Stakhova – MD, ultrasound diagnostic doctor, Department of Ultrasound and Functional Diagnostics at the Russian Children’s Clinical Hospital – branch of the Pirogov Russian National Research Medical University, Moscowhttps://orcid.org/0009-0000-5675-8353

https://orcid.org/0000-0001-6438-4259МакаровС. П.MakarovS. P.

Макаров Сергей Петрович – врач-детский хирург детского хирургического отделения Российской детской клинической больницы – филиала ФГАОУ ВО РНИМУ им. Н.И. Пирогова Минздрава России (Пироговский Университет), Москваhttps://orcid.org/0000-0001-6438-4259

Sergey P. Makarov – MD, pediatric surgeon, Department of pediatric surgery at the Russian Children’s Clinical Hospital – branch of the Pirogov Russian National Research Medical University, Moscowhttps://orcid.org/0000-0001-6438-4259

makkkkar@ya.ruРоссийская детская клиническая больница – филиал ФГАОУ ВО РНИМУ им. Н.И. Пирогова Минздрава России (Пироговский Университет), Москва; ФГАОУ ВО РНИМУ им. Н.И. Пирогова Минздрава России (Пироговский Университет), МоскваРоссияRussian Children’s Clinical Hospital – branch of the Pirogov Russian National Research Medical University, Moscow; Pirogov Russian National Research Medical University, MoscowRussian FederationРоссийская детская клиническая больница – филиал ФГАОУ ВО РНИМУ им. Н.И. Пирогова Минздрава России (Пироговский Университет), МоскваРоссияRussian Children’s Clinical Hospital – branch of the Pirogov Russian National Research Medical University, MoscowRussian FederationРоссийская детская клиническая больница – филиал ФГАОУ ВО РНИМУ им. Н.И. Пирогова Минздрава России (Пироговский Университет), МоскваРоссияRussian Children’s Clinical Hospital – branch of the Pirogov Russian National Research Medical University, Moscow; Pirogov Russian National Research Medical University, MoscowRussian Federation2026240920263238090Copyright © Феоктистова Е.В., Степанов Э.А., Петров Д.А., Стахова М.Б., Макаров С.П., 20262026Феоктистова Е.В., Степанов Э.А., Петров Д.А., Стахова М.Б., Макаров С.П.Feoktistova E.V., Stepanov A.E., Petrov D.A., Stakhova M.B., Makarov S.P.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://usfd.rdsmedia.ru/jour/article/view/437

Холедохоцеле – это кистозное расширение дистального сегмента общего желчного протока, выступающее в просвет двенадцатиперстной кишки. Это крайне редкое врожденное поражение. В статье описано наблюдение 5-летнего ребенка с неосложненным холедохоцеле. В ходе предоперационной диагностики по данным как ультразвукового исследования, так и магнито-резонансной холангиопанкреатографии не удалось провести достоверную дифференциальную диагностику между кистой желчного протока III типа и кистозным удвоением двенадцатиперстной кишки. Ребенку выполнена плановая дуоденотомия с иссечением кисты, послеоперационный период протекал благополучно. В статье описаны ультразвуковые признаки, характерные для данного варианта порока развития желчных ходов, приведены обзор литературы с описанием эмбриогенеза заболевания, а также сведения о сравнительной точности ультразвуковых, лучевых и эндоскопических методов диагностики.

A choledochocele is a cystic enlargement of the distal segment of the common bile duct protruding into the lumen of the duodenum. This is an extremely rare congenital abnormality. The article describes the case of a 5-year-old child with uncomplicated choledochocele. During the preoperative diagnosis, both ultrasound and magnetic resonance cholangiopancreatography failed to make a reliable differential diagnosis between type III bile duct cyst and duodenal duplication cyst. The child underwent a planned duodenotomy with cyst excision, and the postoperative period was successful. The article describes the ultrasound features  characteristic of this type of biliary tract malformation, provides a review of the literature describing the embryogenesis of the disease, and provides information on the comparative accuracy of ultrasound, radiologic, and endoscopic diagnostic modalities. 

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The authors declare that there are no conflicts of interest present.