Choledochal cyst- unusual presentation in the adult phase: Case report

Albuquerque, Victor Vinícius Monteiro Lins de; Macedo, Frank Pinheiro De; Costa, Ketlen Gomes da; Nunes, Zuriel Rodrigues Seixas; Silva, Rubem A. da

doi:10.1016/j.ijscr.2020.03.014

Cited by 6 publications

(11 citation statements)

References 12 publications

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“…According to a Finland report, bile duct cyst prevalence has grown over the past 40 years from 1:128000 to 1:38000. While most instances have historically been reported in children, some investigations have shown similar results in adults and children 2 . Numerous theories have been put forth on the origin of the choledochal cyst.…”

Section: Discussionmentioning

confidence: 94%

“…Congenital bile duct malformations known as choledochal cysts are abnormal, disproportionate cystic dilatations of the biliary channel 1 . The detection of cases in childhood accounts for around 80%; thus, adult presentations are uncommon and often come with complications like cholangitis, stone development, cyst rupture, secondary biliary cirrhosis, obstructive jaundice, and malignancy (cholangiocarcinoma) 2 . The Todani Classification divides choledochal cysts into Type I–Type V 1 .…”

Section: Introductionmentioning

confidence: 99%

“…Medical imaging has evolved and improved, making diagnosing more cases possible. Abdominal ultrasonography (USG), computed tomography (CT), magnetic resonance cholangiopancreatography (MRCP), endoscopic retrograde cholangiopancreatography (ERCP), and endoscopic ultrasound are the most often requested investigations 2 . The treatment consists of a total cyst resection and Roux‐en‐Y hepaticojejunostomy 2 .…”

Section: Introductionmentioning

confidence: 99%

“…Abdominal ultrasonography (USG), computed tomography (CT), magnetic resonance cholangiopancreatography (MRCP), endoscopic retrograde cholangiopancreatography (ERCP), and endoscopic ultrasound are the most often requested investigations 2 . The treatment consists of a total cyst resection and Roux‐en‐Y hepaticojejunostomy 2 . This case report underlies a Type IV‐A choledochal cyst in a female complicated with choledocholithiasis.…”

Section: Introductionmentioning

confidence: 99%

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

Bhattarai,

Timilsina,

Khanal

2023

Clinical Case Reports

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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.

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Section: Discussionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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

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“…A report from Finland suggests that the incidence of biliary cysts has increased from 1:128,000 to 1:38,000 over the past 40 years. [ 5 ]. We present a clinical case of a type of CC yet to be described in the literature that might be classified under an updated version of the classification of biliary cyst soon.…”

Section: Introductionmentioning

confidence: 99%

A Unique Type or Variation of Bile Duct Cyst in a 9-Year-Old Girl:A Remarkable Case Study

Paņina,

Zviedre,

Laizāns

et al. 2023

AML

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Patients with bile duct cysts require careful radiological assessment of the hepatobiliary system prior to surgical intervention. This clinical case is uncommon with an atypical clinical presentation and radiological findings. According to the most widely used classification of choledochal cysts, this case presents a combination of Type I and Type IV of choledochal cyst (CC) combining the form of extra, intrahepatic bile ducts and cystic duct dilations.

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Choledochal Cysts in Female Adult: Diagnostic Pitfall and Conservative Therapy for Bile Leak

Fuadhi,

Barmawi,

Sofii

et al. 2023

SMedJour

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Introduction: Choledochal cysts that are accompanied by obstructive jaundice are a rare case. These cysts can cause intrahepatic or extrahepatic ductal dilatation. Their diagnosis is difficult, particulary in adults. Proper management can prevent further complications.Methods: A serial case report of a patient with a choledochal cyst.Results: 2 female patients aged 21 years and 22 years have a painful and fixed lump in the upper right abdomen. The first patient also complained jaundice. Laboratory results showed an increase in total bilirubin and direct bilirubin. The second patient didn’t complaint about jaundice or increased bilirubin, and she had a cholecystectomy when she was ten. The diagnosis was confirmed by a contrast abdominal CT scan, showing type 1A Todani choledochal cysts in both patients. Management of the first patient was cyst excision, cholecystectomy, and Roux n Y hepaticojejunostomy. In the second patient, adhesiolysis, cyst excision, and Roux n Y hepaticojejunostomy were performed. The second patient had no postoperative complications.Conclusion: Choledochal cysts are a rare congenital condition in adulthood. n both cases, two patients were manage surgically. Bile leakage complications can be manage conservatively. Diagnostic and management of choledochal cysts must be correct to prevent pitfall and complications.

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Choledochal cyst- unusual presentation in the adult phase: Case report

Cited by 6 publications

References 12 publications

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

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

A Unique Type or Variation of Bile Duct Cyst in a 9-Year-Old Girl:A Remarkable Case Study

Choledochal Cysts in Female Adult: Diagnostic Pitfall and Conservative Therapy for Bile Leak

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