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Choledochal cyst
1Department of Internal Medicine, University of Texas Health Science Center, Dallas.
Southern Medical Journal
|February 1, 1989
Summary
A rare choledochal cyst filled with stones was diagnosed in a teenage girl presenting with abdominal pain and abnormal liver function. This condition, linked to an anomalous pancreaticobiliary duct junction, requires prompt medical attention.
Area of Science:
- Gastroenterology
- Pediatric Surgery
- Medical Imaging
Background:
- Choledochal cysts are rare congenital bile duct dilatations.
- Symptoms can include abdominal pain, jaundice, and abnormal liver function tests.
- Anomalous pancreaticobiliary duct junction is a known risk factor.
Observation:
- A 16-year-old female presented with recurrent right upper quadrant pain.
- Abnormal liver function tests were noted.
- Imaging revealed a large choledochal cyst packed with stones.
Findings:
- Computerized tomography (CT) and endoscopic retrograde cholangiopancreatography (ERCP) confirmed a large choledochal cyst.
- The cyst contained numerous primary stones.
- An anomalous pancreaticobiliary duct junction was identified.
Implications:
- This case highlights the importance of considering choledochal cysts in pediatric patients with abdominal pain and liver abnormalities.
- Early diagnosis and surgical intervention are crucial for preventing complications.
- Understanding the association with anomalous pancreaticobiliary duct junction aids in management.