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Related Experiment Videos

Large choledochal cyst present through 2 pregnancies. A case report.

Wing Yee Fok1, Shing-Kai Yip, Tse Ngong Leung

  • 1Departments of Obstetrics and Gynaecology and of Surgery, Prince of Wales Hospital, Chinese University of Hong Kong, Hong Kong. angelfok@cuhk.edu.hk

The Journal of Reproductive Medicine
|July 15, 2003
PubMed
Summary

Diagnosing choledochal cysts during pregnancy is challenging. This case highlights the risks of delayed diagnosis, emphasizing the need for increased awareness in obstetric care.

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Area of Science:

  • Medical diagnosis and surgical management of rare congenital biliary anomalies.
  • Obstetrics and Gynecology, focusing on pregnancy complications.
  • Gastroenterology and Hepatobiliary Surgery.

Background:

  • Choledochal cysts are rare congenital dilations of the bile ducts.
  • Diagnosis during pregnancy is infrequent and poses significant clinical challenges.
  • Distinguishing choledochal cysts from other adnexal masses can be difficult.

Observation:

  • A pregnant woman was initially misdiagnosed with an ovarian cyst and gallbladder mucocele.
  • She remained asymptomatic throughout both pregnancies, with conservative management adopted.
  • Postpartum, she developed acute right upper quadrant pain and abnormal liver function tests.

Findings:

  • Emergency laparotomy confirmed a Type I choledochal cyst with superimposed infection.

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  • Surgical intervention included cyst excision, cholecystectomy, and Roux-en-Y hepatojejunostomy.
  • Histopathological examination confirmed the choledochal cyst diagnosis.

    • Implications:

    • Choledochal cysts in pregnancy present diagnostic difficulties and potential maternal-fetal risks.
    • Prompt diagnosis and surgical intervention are crucial for favorable outcomes.
    • This case underscores the importance of considering rare biliary anomalies in pregnant patients with abdominal symptoms.