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Choledochal Cyst And Biliary Stone

Anjum Saeed1, Asaad Assiri2

  • 1Department of Paediatrics, Division of Gastroenterology, Hepatology & Nutrition, The Children's Hospital & Institute of Child Health, Lahore, Pakistan.

Journal of Ayub Medical College, Abbottabad : JAMC
|March 6, 2018
PubMed

Insights

Choledochal cysts, often seen in children, can present unusually. A 4-year-old initially mimicking viral hepatitis was diagnosed with a choledochal cyst and biliary stone, successfully treated with surgery.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Hepatobiliary Diseases

Background:

  • Choledochal cysts are congenital biliary tract malformations, frequently diagnosed in childhood.
  • Abnormal pancreaticobiliary junction is commonly associated with acquired choledochal cysts.
  • Varied presentations necessitate considering differential diagnoses, especially when symptoms persist.

Observation:

  • A 4-year-old child presented with symptoms suggestive of acute viral hepatitis A.
  • Persistent symptoms beyond the typical duration prompted consideration of alternative diagnoses.
  • The clinical presentation mimicked viral hepatitis but indicated a more complex underlying condition.

Findings:

  • Choledochal cyst was diagnosed as the underlying condition.
  • The choledochal cyst was complicated by the presence of a biliary stone.
  • Abnormal pancreaticobiliary junction was noted as a potential contributing factor.

Implications:

  • Early and accurate diagnosis of choledochal cysts is crucial in pediatric patients.
  • Surgical excision is an effective management strategy for choledochal cysts with complications.
  • Distinguishing choledochal cysts from hepatitis A is important for appropriate treatment and outcomes.

Keywords:
Biliary stonesChildren.Choledochal cyst

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