Choledochal cyst: a case report and review of literature

B M Gall1, A G Madziga, A U Hamid

  • 1Department of Surgery, University of Maiduguri Teaching Hospital, Maiduguri, Nigeria.

Insights

This case study details the successful surgical drainage of a choledochal cyst in a young girl. Accurate diagnosis via abdominal ultrasound was key, overcoming management challenges.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology

Background:

  • Choledochal cysts are rare congenital biliary anomalies.
  • Management can be challenging, especially in young children.

Observation:

  • A 2.5-year-old girl presented with a right hypochondrial mass.
  • Abdominal ultrasound confirmed a choledochal cyst.
  • Pre-operative clotting profiles were deranged and corrected with vitamin K.

Findings:

  • Surgical drainage was performed due to difficulties in cyst wall excision.
  • The patient's condition was successfully managed with surgical intervention.

Implications:

  • Highlights the importance of high clinical suspicion for accurate diagnosis.
  • Abdominal ultrasound is a crucial tool for pre-operative diagnosis of choledochal cysts.
  • Demonstrates successful management via surgical drainage when excision is not feasible.
Abstract