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A Rare Case of a Giant Choledochal Cyst in a Caribbean Infant

Paige V Ali1, Fiaz Ali1, Sarita Sudama1

  • 1Paediatric Surgery, San Fernando Teaching Hospital, San Fernando, TTO.

Cureus
|May 8, 2024
PubMed

Insights

Giant choledochal cysts, rare biliary dilatations exceeding 10cm, were successfully treated in a Caribbean infant. This case highlights successful surgical management and positive long-term outcomes for this pediatric condition.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Medical Imaging

Background:

  • Choledochal cysts are rare biliary tree dilatations.
  • Giant choledochal cysts are defined as those exceeding 10cm in maximum diameter.
  • Early diagnosis and surgical intervention are crucial for pediatric patients.

Observation:

  • A female infant presented with vomiting, abdominal distention, pale stool, and irritability.
  • Physical examination revealed a large abdominal mass.
  • Computed tomography (CT) scan confirmed a giant choledochal cyst.

Findings:

  • The infant underwent successful laparotomy, cholecystectomy, choledochal cyst excision, and hepaticojejunostomy.
  • Post-operative follow-up at three years showed normal growth parameters and liver enzymes.
  • This is the first reported case of a giant choledochal cyst in a pediatric patient from the Caribbean.

Implications:

  • This case demonstrates the feasibility and effectiveness of surgical management for giant choledochal cysts in infants.
  • Highlights the importance of considering rare conditions in pediatric presentations.
  • Contributes to the understanding of giant choledochal cysts in diverse populations.

Keywords:
choledochal cystshepato-biliaryhepato-jejunostomyobstructive jaundicepaediatric abdominal massespaediatric surgery

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