Choledochal cyst

Case contributed by Anil Kumar Geetha Virupakshappa
Diagnosis certain

Presentation

Upper abdominal pain since 3 weeks

Patient Data

Age: 15 years
Gender: Female
mri

Fusiform dilatation of the extrahepatic bile duct is noted without any dilatation of intrahepatic biliary radicles, suggestive of type I choledochal cyst. No obstructive lesion of choledocholithiasis. Few small calculi are noted in the gallbladder.

Case Discussion

Choledochal cyst is a cystic congenital dilatation of biliary tree. There are six types of bile duct cysts according to the Todani classification.

Cyst resection and hepatico-jejunostomy is treatment of choice.

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