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Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
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Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults

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A Rare Case of Choledochal Cyst Presented as Sudden and Severe Abdominal Pain

Lung-Huang Lin1

  • 1Department of Pediatrics, Cathay General Hospital, Taipei, Taiwan.

Journal of Medical Ultrasound
|March 4, 2021
PubMed

Insights

A pediatric Type 1C choledochal cyst presented as acute biliary colic. This rare biliary tract expansion, associated with anomalous pancreaticobiliary junction, can cause gallstones and pain.

Area of Science:

  • Pediatric Gastroenterology
  • Hepatobiliary Surgery
  • Medical Imaging

Background:

  • Choledochal cysts are congenital dilations of the biliary tract.
  • Type 1C choledochal cysts involve fusiform dilatation of the common bile duct with anomalous pancreaticobiliary junction.
  • These anomalies can lead to biliary stasis and inflammation.

Observation:

  • A pediatric case presented with acute biliary colic pain.
  • The patient was diagnosed with a Type 1C choledochal cyst.
  • Cholelithiasis (gallstones) was suspected as a complication.

Findings:

  • Type 1C choledochal cysts are characterized by a specific anatomical configuration.
  • Biliary stagnation in choledochal cysts predisposes to gallstone formation.
  • Gallstones can obstruct the common bile duct, causing biliary colic.

Implications:

  • Early diagnosis of Type 1C choledochal cysts is crucial for preventing complications.
  • Abdominal sonography is a valuable preliminary diagnostic tool.
  • Understanding the pathophysiology aids in surgical and medical management of pediatric biliary anomalies.

Keywords:
Choledochal cystcholelithiasislaparotomysonography

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