Choledochocele

Last revised by Henry Knipe on 30 Apr 2024

Choledochoceles are a specific type of choledochal cyst (type III under the Todani classification system).

Patients are usually adolescents and may present with a recurrent crisis of right upper quadrant pain, hyperamylasemia, or jaundice ref

In this type, there is dilatation of the intramural portion of the distal common bile duct within the duodenal wall. Its precise etiology is not clear 3

Malignant transformation of a choledochocele occurs very rarely ref.

When choledochoceles are small and symptomatic, it may be treated with an endoscopic sphincterotomy. Larger cysts are often removed by a surgical cystoduodenostomy ref.

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