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[Acute pancreatitis in childhood by choledocal stone in a choledocal cyst. Case report]

Tayana Bedregal-Mendoza1, Irma A Matos-Rojas1, Jacpar E Díaz Gonzales1

  • 1Instituto Nacional de Salud del Niño. Lima, Perú.

Revista De Gastroenterologia Del Peru : Organo Oficial De La Sociedad De Gastroenterologia Del Peru
|August 1, 2015
PubMed

Insights

Acute pancreatitis can occur in infants with choledochal cysts, especially those with biliary stones. This case highlights pancreatitis and obstruction in a type IVa choledochal cyst due to gallstones.

Area of Science:

  • Gastroenterology
  • Pediatric Surgery
  • Biliary System Diseases

Background:

  • Choledochal cysts are congenital dilations of the bile ducts.
  • Acute pancreatitis is a recognized complication of choledochal cysts.
  • Biliopancreatic junction anomalies and intra-cystic gallstones are associated risk factors.

Observation:

  • A 2-year-old infant presented with symptoms of pancreatitis and biliary obstruction.
  • The patient was diagnosed with a type IVa choledochal cyst.
  • Biliary stones were identified as the cause of obstruction within the cyst.

Findings:

  • The type IVa choledochal cyst led to significant biliary obstruction.
  • Intra-cystic gallstones were the direct cause of the obstruction and subsequent pancreatitis.
  • This case underscores the potential for severe complications in pediatric choledochal cysts.

Implications:

  • Early diagnosis and management of choledochal cysts are crucial in infants.
  • Surgical intervention may be necessary to prevent or treat complications like pancreatitis.
  • Understanding the association between cyst type, gallstones, and pancreatitis is vital for pediatric care.

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