Isolated cystic duct cyst with associated stones in a 4-month-old boy

Joong Kee Youn1, Hyejin Kim1, Hyun-Young Kim1

  • 1Department of Pediatric Surgery, Seoul National University Children's Hospital, Seoul, Korea.

Insights

Isolated cystic duct cysts are rare congenital anomalies. This case report details a successful surgical removal in a 4-month-old infant, highlighting the need for distinct classification.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Congenital Anomalies

Background:

  • Isolated cystic duct cysts are exceptionally rare biliary tract malformations.
  • Existing classifications of choledochal cysts do not adequately address isolated cystic duct cysts.

Observation:

  • A 4-month-old male infant presented with abdominal pain and vomiting.
  • Imaging revealed an isolated cyst originating from the cystic duct, accompanied by gallstones.

Findings:

  • The patient underwent successful open cholecystectomy with complete excision of the cyst and cystic duct.
  • Postoperative recovery was uneventful, with no complications reported.

Implications:

  • This case underscores the importance of recognizing isolated cystic duct cysts as a distinct entity.
  • Consideration should be given to including this rare anomaly in future classifications of biliary cysts.

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