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[Duodenal atresia and choledochal cyst: a rare combination]

Guillaume Piessen1, Christophe Mariette, Estelle Aubry

  • 1Service de Chirurgie digestive et générale, Hôpital Claude Huriez, CHRU, Place de Verdun, 59037 Lille Cedex.

Gastroenterologie Clinique Et Biologique
|November 1, 2006
PubMed

Insights

Congenital duodenal atresia, a rare condition, can be associated with biliary anomalies. This case highlights a unique instance of choledochal cyst in an adult with a history of duodenal atresia.

Area of Science:

  • Gastroenterology and Hepatobiliary Surgery
  • Developmental Biology and Congenital Anomalies

Background:

  • Congenital duodenal atresia often presents with other congenital anomalies due to linked embryological development.
  • Biliary tract anomalies are known associations, though rarely observed with duodenal atresia.

Observation:

  • A 27-year-old woman with a history of childhood duodenal atresia surgery presented with cholangitis.
  • Diagnostic imaging revealed a choledochal cyst with an impacted stone in the pancreatic head.

Findings:

  • The patient underwent pancreaticoduodenectomy due to the significant biliary obstruction caused by the cyst and stone.
  • This represents a rare, previously undescribed association of congenital duodenal atresia and adult-onset choledochal cyst.

Implications:

  • This case expands the understanding of rare congenital anomalies and their potential late presentations.
  • Highlights the importance of considering biliary tract anomalies in patients with a history of duodenal atresia, even in adulthood.

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