Choledochal cyst type 2

Case contributed by Utkarsh Kabra
Diagnosis almost certain

Presentation

Right hypochondrium pain

Patient Data

Age: 10 years
mri

Large diverticulum along mid-CBD, measuring approx. 33 x 42 x 35mm. Multiple tiny calculi are seen in its dependent part. Suspicious tiny calculi are seen in distal CBD. Proximal CBD / CHD are dilated, measuring approx—12 mm in maximum diameter.

No obvious intrahepatic biliary radical dilatation is seen in the present scan.

Cystic duct insertion is not well visualized.

The gall bladder is distended with no obvious calculi/wall thickening or pericholecystic edema.

Case Discussion

The findings are suggestive of type 2 choledochal cyst.

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