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An unusual cause of pain in the right hypochondrium

Arooj Batool1, Azam Yusuf1

  • 1Department of Surgery, Benazir Bhutto Hospital, Rawalpindi.

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|March 12, 2014
PubMed

Insights

Choledochal cysts are rare biliary system anomalies. Misdiagnosis is common, but prompt surgical intervention like Roux-en-Y hepatico-jejunostomy can effectively manage this condition.

Area of Science:

  • Gastroenterology and Hepatobiliary Surgery
  • Congenital Biliary Tract Anomalies

Background:

  • Choledochal cysts are uncommon congenital dilations of the biliary tract.
  • Early and accurate diagnosis is crucial for effective management.
  • Presentation can mimic other common abdominal pathologies.

Observation:

  • Three patients presented with right hypochondrium pain over three months.
  • Initial diagnoses included obstructive jaundice, acute pancreatitis, and pancreatic pseudocyst.
  • All three cases were ultimately diagnosed as choledochal cysts.

Findings:

  • Choledochal cysts can present with varied and misleading symptoms.
  • Differential diagnosis is essential to avoid delayed treatment.
  • Surgical management with Roux-en-Y hepatico-jejunostomy was successful in all cases.

Implications:

  • Highlights the importance of considering choledochal cysts in the differential diagnosis of abdominal pain.
  • Emphasizes the need for thorough investigation in suspected cases.
  • Demonstrates the efficacy of surgical treatment for choledochal cysts.

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