Type I Choledochal Cyst Complicated With Acute Hemorrhagic Pancreatitis: A Case Report

Abstract

Choledochal cysts rarely present with acute pancreatitis. We report a patient with type I choledochal cyst(s) who had concomitant acute frank hemorrhagic pancreatitis.A 14-year-old male noted with a history of recurrent abdominal pain, fever and jaundice. Ultrasonography (US) of abdomen at the Emergency Department depicted distended gall bladder with wall thickening. Apparently dilated intrahepatic ducts (IHDs) and fusiform dilatation of the common bile duct (CBD), and mild dilatation of the pancreatic duct were also noted, suggesting a type I choledochal cyst( ). Computed tomography (CT) demonstrated calcifications in the uncinate process of the pancreas in addition to the similar findings on US. He subsequently underwent choledochal cyst excision with a Roux-en-Y hepaticojejunostomy. After surgical treatment, he has been doing well for 3 years.

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

“…A choledochal cyst is a congenital abnormality of the bile duct. Most of these abnormalities are benign cysts with intrahepatic and/or extra-hepatic dilatation of the biliary tract 4 . This rare case was first described by Vater and Ezler.…”

“…The clinical symptoms of choledochal cysts vary widely. Clinical symptoms that often occur are jaundice, right upper quadrant abdominal pain, colic pain, and the presence of a mass 4 . Choledochal cysts found in adulthood can be accompanied by complications such as cholangitis, stones in the biliary tract, rupture of cysts, secondary biliary cirrhosis, obstructive jaundice, and malignancy (cholangiocarcinoma) 2 .…”