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[Pancreatitis and choledochal cyst].

P Rémy1, P Renoirte, A De Neve de Roden

  • 1Hopital de Jolimont, Haine Saint-Paul, Belgique.

Chirurgie Pediatrique
|January 1, 1987
PubMed
Summary
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A pediatric pancreatitis case revealed a congenital choledochal cyst. This rare diagnosis in children highlights the importance of considering choledochal cysts in pancreatitis cases.

Area of Science:

  • Pediatric Gastroenterology
  • Surgical Gastroenterology
  • Congenital Abnormalities

Background:

  • Acute abdomen in children often suggests appendicitis.
  • Pancreatitis is an uncommon diagnosis in pediatric patients.
  • Choledochal cysts are rare congenital biliary tract malformations.

Observation:

  • A 6-year-old girl presented with acute abdomen, initially diagnosed as appendicitis.
  • Elevated pancreatic enzymes led to a revised diagnosis of pancreatitis with angiocholitis.
  • Further investigation revealed a congenital choledochal cyst with an abnormal pancreaticobiliary junction.

Findings:

  • The patient had a congenital choledochal cyst.
  • An abnormal junction between the common bile duct and the pancreatic duct (choledochus-Wirsung junction) was identified.

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  • Surgical intervention included cystectomy, cholecystectomy, and hepatico-jejunostomy (Roux-en-Y).

    • Implications:

    • Pancreatitis in childhood warrants suspicion for underlying choledochal cysts.
    • Early diagnosis and surgical management of choledochal cysts are crucial.
    • This case underscores the importance of comprehensive diagnostic workup in pediatric acute abdomen.