Isolated dilatation of the cystic duct-Type VI choledochal cyst: a rare case presentation and review of the literature

Ray, Samrat; Bhat, Bharath Kumar; Yadav, Amitabh; Nundy, Samiran

doi:10.1093/jscr/rjx067

Cited by 11 publications

(9 citation statements)

References 8 publications

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“…Type I CCs have the greatest frequency of occurrence (75-85%) compared to other types [1,10]. Isolated cystic dilatation of the cystic duct was added to the Todani classification in 1991 as type VI [11].…”

Section: Discussionmentioning

confidence: 99%

Large choledochal cyst initially interpreted as Mirizzi syndrome - case report and literature review

Milosavljević¹,

Tadić

Grubor

et al. 2020

Srp Arh Celok Lek

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Introduction. Choledochal cysts are congenital anomalies manifested as focal or diffuse cystic dilatation of the bile ducts. They are mostly diagnosed in childhood. The magnetic resonance and surgical management are the gold standard diagnostic and treatment modality. Case outline. We present a male patient who was presumed to have Mirizzi syndrome. This presumption was discarded by additional imaging procedures and by later surgical treatment. It was confirmed that it was a large choledochal cyst filled with stones. Considering the diagnosis and good patient?s general condition, we opted for surgical treatment. Conclusion. There are several surgical techniques that can be used in the treatment of choledochal cysts, wherein each is intended as a complete resection of the cyst with histological confirmation. Operative techniques do not affect the outcome of the treatment, but the time and extent of surgical resection, as well as any metaplasia of the epithelium, do.

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Section: Discussionmentioning

confidence: 99%

Large choledochal cyst initially interpreted as Mirizzi syndrome - case report and literature review

Milosavljević¹,

Tadić

Grubor

et al. 2020

Srp Arh Celok Lek

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“…Bresciani et al, 7 Chan et al, 12 and Ray et al 24 have reported on the laparoscopic management of the cystic duct cysts where the most common surgery is a laparoscopic cholecystectomy with cystic duct cyst excision. Laparoscopic cholecystectomy with cyst excision can be done with low threshold for conversion to open cholecystectomy in case of anatomical difficulty and associated biliary anomalies which are seen in most reported cases in literature.…”

Section: Discussionmentioning

confidence: 99%

Type VI Choledochal Cysts—Case Report and Review of Literature

Amarjothi

Ramasamy

Jesudasan

et al. 2019

Surg J

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Choledochal cysts (CDC), are rare congenital dilations involving the extra hepatic biliary apparatus with or without dilation of the intrahepatic bile ducts. They are conventionally classified into five types. A new type, type VI, causing dilation of the cystic duct between the neck of the gall bladder and the common hepatic duct (CHD) has been described in medical literature which is the rarest of all these subtypes. They are commonly observed in middle aged females and are mostly symptomatic. Most of these cysts need magnetic resonance cholangiopancreatography (MRCP) for accurate diagnosis. Treatment options for these lesions are not well defined but range from simple cholecystectomy to complete excision of the entire bile duct and biliary reconstruction, as there is a concern of malignant transformation in these cysts. Hence, these rare cysts, though rare, must be borne in mind when dealing with suspicious cystic lesions in the biliary tract. Here, we present an interesting case of such a rare cyst and its management in a middle aged woman.

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“…7,9 In 1991, a sixth type, isolated cysts dilation of the cystic duct, was included to the Todani classification. 10 Subsequently, “form fruste” CCs with APBJ and no bile duct dilation were reported. 11…”

Section: Discussionmentioning

confidence: 99%

Diverticulum of common hepatic duct leading to obstructive jaundice, a case report

et al. 2019

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Choledochal cyst is a dilation of the intrahepatic and/or extrahepatic biliary tree. The pathogenesis is unknown and potentially is multifactorial. In 1977, Todani classified the cysts under five different types according to their morphology, number and distribution along the biliary tree. Presenting symptoms of Choledocal cysts which include upper abdominal pain, acute cholangitis and jaundice, although often they are clinically silent and discovered as an incidental finding. Biliary complications include cholangitis, biliary stones, pancreatitis, portal hypertension and cholangiocarcinoma. We describe a case of a rare Type II Todani cyst located on the right side of the common hepatic duct characterised by a clinical presentation similar to that observed in Mirizzi Syndrome. The treatment of a Type II choledochal cyst consists in cystic excision.

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Isolated dilatation of the cystic duct-Type VI choledochal cyst: a rare case presentation and review of the literature

Cited by 11 publications

References 8 publications

Large choledochal cyst initially interpreted as Mirizzi syndrome - case report and literature review

Large choledochal cyst initially interpreted as Mirizzi syndrome - case report and literature review

Type VI Choledochal Cysts—Case Report and Review of Literature

Diverticulum of common hepatic duct leading to obstructive jaundice, a case report

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