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Choledochal cyst.

K H Little1, P M Loeb

  • 1Department of Internal Medicine, University of Texas Health Science Center, Dallas.

Southern Medical Journal
|February 1, 1989
PubMed
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.

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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.

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