Choledochal cyst - type I

Case contributed by Ibrahim Ahmed Al-Jaradi
Diagnosis almost certain

Presentation

Abdominal pain and vomiting, with history of mild jaundice.

Patient Data

Age: 8 years
Gender: Female
ct

Cystic structure measuring about 5.4 x 5.4 x 7.5 cm seen in the expected path of the CBD, extending from the porta hepatis above to the pancreatic head region below, communicating superiorly with the moderately dilated intrahepatic biliary tree; findings are highly suggestive of choledochal cyst type I causing moderate intrahepatic biliary dilatation.

The gallbladder is average in size with a few incomplete luminal septa.

Case Discussion

This case shows a typical appearacne of choledochal cyst type Ia in a highly propable clinical settings.

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