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Choledochal Cyst in Pregnancy: A Case Report.
Ahmed I Elmasry1, Shaher M Ali1, Dana A Neama1
1General Surgery, Salmaniya Medical Complex, Manama, BHR.
Cureus
|November 7, 2022
Summary
A rare congenital biliary malformation, choledochal cyst, poses diagnostic challenges during pregnancy. Early diagnosis with MRI is crucial to prevent maternal and fetal complications.
Area of Science:
- Gastroenterology
- Obstetrics
- Medical Imaging
Background:
- Choledochal cysts are rare congenital biliary tree malformations.
- Diagnosis during pregnancy is complicated by atypical presentations.
Observation:
- A pregnant patient in her third trimester presented with symptoms initially misdiagnosed as cholecystitis.
- She underwent an emergency Cesarean section before a definitive diagnosis was made.
Findings:
- The patient was later diagnosed with choledochal cyst type IVA after readmission.
- Percutaneous drainage led to clinical improvement.
Implications:
- Delayed diagnosis of choledochal cysts in pregnancy can lead to premature delivery.
- Increased physician familiarity with choledochal cyst presentation and increased use of MRI in pregnant patients are recommended for early diagnosis and prevention of complications.
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