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Choledochal Cyst with Aberrant Right Posterior Sectoral Duct
Sumitoj Singh1, Narinder Pal Singh1, Anirudh Goyal1
1Department of General Surgery, Government Medical College, Amritsar, Punjab 143001 India.
The Indian Journal of Surgery
|January 6, 2016
Summary
Aberrant right posterior sectoral ducts associated with choledochal cysts are rare but can lead to complications if missed. This case highlights diagnosis via magnetic resonance cholangiopancreatography and successful surgical management.
Area of Science:
- Gastroenterology
- Pediatric Surgery
- Medical Imaging
Background:
- Choledochal cysts involve biliary tree dilatations.
- Association with aberrant hepatic ducts is uncommon.
- Aberrant ducts can complicate diagnosis and treatment of choledochal cysts.
Purpose of the Study:
- To report a rare case of choledochal cyst associated with an aberrant right posterior sectoral duct in a pediatric patient.
- To emphasize the diagnostic challenges and potential complications.
- To illustrate successful management.
Main Methods:
- Case presentation of a 14-year-old girl.
- Diagnostic imaging using magnetic resonance cholangiopancreatography (MRCP).
- Surgical management involving cyst excision.
Main Results:
- A choledochal cyst associated with an aberrant right posterior sectoral duct was identified.
- MRCP enabled accurate diagnosis, avoiding intraoperative misidentification.
- The patient underwent successful cyst excision.
Conclusions:
- The rare association of choledochal cysts with aberrant sectoral ducts requires high diagnostic vigilance.
- MRCP is a valuable tool for pre-operative diagnosis.
- Prompt diagnosis and surgical excision are crucial for managing such complex cases.
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