A Case of Choledochal Cyst complicated by Acute Pancreatitis with Choledocholithiasis

Ali, Akmat; Gomes, Richmond Ronald

doi:10.31546/2732-5652.1003

Cited by 1 publication

(3 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 11 The recommended treatment option is complete cyst resection with cholecystectomy and biliary reconstruction with Roux‐en‐Y hepaticojejunostomy or hepaticoduodenostomy. 6 This surgery succeeded in our patient with no postoperative complications.…”

Section: Discussionsupporting

confidence: 57%

“…Although both hepaticoduodenostomy and Roux‐en‐Y hepaticojejunostomy repair have been documented in the literature, Roux‐en‐Y hepaticojejunostomy is preferred 11 . The recommended treatment option is complete cyst resection with cholecystectomy and biliary reconstruction with Roux‐en‐Y hepaticojejunostomy or hepaticoduodenostomy 6 . This surgery succeeded in our patient with no postoperative complications.…”

Section: Discussionmentioning

confidence: 62%

“…However, it may not always definitively identify the cyst's origin within the bile duct 1 . While MRCP (Magnetic Resonance Cholangiopancreatography) is considered the gold standard for diagnosing biliary cysts with a high sensitivity ranging from 90% to 100%, 6,7 in our particular case, we successfully diagnosed our patient using a combination of ultrasonography (USG) and CT Cholangiogram.…”

Section: Discussionmentioning

confidence: 94%

See 2 more Smart Citations

Type IV‐A choledochal cyst with choledocholithiasis in an adult female: A case report

Bhattarai,

Timilsina,

Khanal

2023

Clinical Case Reports

View full text Add to dashboard Cite

A choledochal cyst is a rare congenital anomaly of the biliary system, characterized by bile duct cystic dilatation, typically affecting the common bile duct. Choledochal cysts are generally categorized using the Todani classification system. The typical symptoms are jaundice, abdominal masses, and recurrent abdominal pain. As most cases are diagnosed in children, adult presentations are uncommon and often associated with complications. A 22‐year‐old female patient complained of severe abdominal pain and vomiting for 5 days, with signs of jaundice. Her abdominal ultrasound revealed fusiform dilation of the extrahepatic common bile duct with multiple calculi in its distal‐most part. On CT cholangiogram of the abdomen, Type IV‐A Choledochal cyst with non‐obstructive choledocholithiasis was found. Although rare, choledochal cysts are a well‐known clinical entity. It is essential to diagnose and treat patients because they may develop complications. Cholecystectomy combined with Roux‐en‐Y hepaticojejunostomy is the preferred treatment for Type IV‐A choledochal cysts. Since choledochal cysts in adults are uncommon, early detection and treatment are essential to avoid serious complications. Ultrasonography (USG), Magnetic resonance cholangiopancreatography (MRCP), and Computed tomography (CT) can provide a diagnosis.

show abstract

Section: Discussionsupporting

confidence: 57%

Section: Discussionmentioning

confidence: 62%