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Type IV congenital choledochal cyst concurrent with acute pancreatitis: a case report

Jing-Tong Wang1, Nan Wu

  • 1Department of Gastroenterology, People's Hospital, Beijing University, Beijing 100044, China. jingtongw@yahoo.com.cn

Hepatobiliary & Pancreatic Diseases International : HBPD INT
|May 24, 2005
PubMed

Insights

Congenital choledochal cysts, a rare bile duct malformation, can lead to acute pancreatitis. This case highlights type IV choledochal cyst in a young woman, emphasizing diagnostic and treatment strategies.

Area of Science:

  • Gastroenterology
  • Pediatric Surgery
  • Medical Imaging

Background:

  • Congenital choledochal cyst is a rare congenital bile duct malformation characterized by cystic dilation.
  • It can present with complications such as acute pancreatitis.

Observation:

  • A 20-year-old female presented with a congenital choledochal cyst complicated by acute pancreatitis.
  • The cyst was classified as type IV.

Findings:

  • Diagnosis relies on imaging modalities including CT, MRCP, and ERCP.
  • Surgical management involves total excision of the cyst with Roux-en-Y hepaticojejunostomy.

Implications:

  • Early diagnosis and appropriate surgical intervention are crucial for managing congenital choledochal cysts.
  • Liver transplantation may be considered for advanced cases with biliary cirrhosis.
Abstract

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