Isolated cystic duct cyst with associated stones in a 4-month-old boy

Abstract

Isolated cystic duct cysts are rare entities, with few cases having been reported. We present the case of a 4-month-old male patient presenting with abdominal pain and vomiting. Ultrasonography and magnetic resonance cholangiopancreatography revealed an isolated cystic duct cyst with associated stones. The patient underwent open cholecystectomy with complete cyst excision and cystic duct transection; there were no postoperative complications. While lesions like the one described herein are extremely rare, they should be included as a separate category in classifications of choledochal cysts.

Pediatric types I and VI choledochal cysts complicated with acute pancreatitis and spontaneous perforation

“…The dilatation of the cystic duct, also known as type VI choledochal cyst, is rare in pediatric patients, with only 19 cases reported in the literature searching from a public domain database (PubMed) with the following keywords: choledochal cyst, type VI choledochal cyst, and cystic duct cyst with each possible combination for relevant articles (Table 1 ). [ 3 , 4 , 7 – 17 ] In this case, 1 choledochal cyst was located at the distal cystic duct entering the CBD, and another was located at the CBD. Furthermore, the cystic dilatation distal to the segmental stricture of the CBD was diagnosed to be an abnormal pancreaticobiliary common channel because intraoperative cholangiography (Fig.…”

“…Cystic dilatation of the cystic duct, also called type VI choledochal cyst, is extremely rare. [ 2 – 17 ] We report the case of a 22-month-old girl with concomitant types I and VI choledochal cysts, complicated with acute pancreatitis and spontaneous perforation.…”

Choledochal cyst of the proximal cystic duct: a taxonomical and therapeutic conundrum

“…1 Only 15 cases of surgical management of isolated cystic duct CDC have been described (Table 1). [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] A notable aspect is the relatively older age of patients with these cysts (median: 29.5 years, range: 4 months -75 years, n=15) compared with patients with other types of CDC. Association with an APBDJ was seen in only two patients (13%) with isolated cystic duct CDCs.…”