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Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
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.
Background:
We present our first experience in managing a case of choledochal cyst in a two and half year old girl highlighting the difficulties in the management together with a review of literature.
Method:
A two and half year old girl presented to the University of Maiduguri Teaching Hospital. A pertinent clinical evaluation with abdominal ultrasound allowed accurate pre-operative diagnosis.
Results:
A young girl with a right hypochondrial mass confirmed as choledochal cyst by ultrasound scans. Haematological parameters were normal but deranged clotting profiles were corrected with vitamin-K injection before surgical drainage.
Conclusion:
High index of suspicion with abdominal ultrasound scan allowed accurate pre-operative diagnosis of choledochal cyst that was successfully managed by surgical drainage, when attempted dissection of cyst wall for excision failed.
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