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Huge Choledochal Cyst in a 26-Year-Old Female: A Case Report

Glory Adebajo1, Aduragbemi Adebunmi1, Adebayo Olugbami2

  • 1College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria.

Journal of the West African College of Surgeons
|September 23, 2024
PubMed

Insights

A young woman with obstructive jaundice and abdominal swelling was treated for a large choledochal cyst. Surgical intervention included cyst excision and reconstruction, resulting in a good clinical outcome after six months.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Hepatobiliary Surgery

Background:

  • Choledochal cysts are rare congenital bile duct dilatations.
  • They can present with jaundice, abdominal pain, and mass, often leading to complications like cholangitis or pancreatitis.
  • Early diagnosis and surgical management are crucial for favorable outcomes.

Observation:

  • A 26-year-old woman presented with obstructive jaundice and significant abdominal distension.
  • Imaging revealed a massive choledochal cyst causing biliary obstruction.
  • Laboratory tests showed a pattern of hyperbilirubinemia consistent with biliary obstruction.

Findings:

  • Exploratory laparotomy confirmed a huge choledochal cyst.
  • The cyst was surgically drained and excised.
  • A Roux-en-Y hepaticojejunostomy was performed for biliary reconstruction.

Implications:

  • This case highlights the importance of considering choledochal cysts in young adults presenting with obstructive jaundice.
  • Successful surgical management, including cyst excision and reconstruction, can lead to excellent long-term outcomes.
  • Prompt surgical intervention is key to preventing complications and improving patient prognosis in choledochal cyst disease.

Keywords:
AdultNigeriacholedochal cyst

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