Presentation
Upper abdominal pain and vomitting
Patient Data
Age: 5 years
Gender: Female
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Saccular dilatation of mid CBD directed superolaterally.
Anomalous pancreaticobiliary junction with a stenotic distal CBD before joining the common channel.
Dilated distal CBD above the level of the stenotic channel with a calculus
within.
Dilated CHD and proximal CBD.
Dilatation of cystic duct with narrowing of the terminal cystic duct, likely stricture.
Case Discussion
Overall above findings suggest the likelihood of choledochal cyst, possibly type 1A. It is unusual to be presented complicated with a bile duct stone, yet a risk factor for 1 in pediatrics.
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