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[Asymptomatic choledochal cyst]

S Hollerbach1, V D Mohr, H Bödeker

  • 1Klinik und Poliklinik für Innere Medizin I, Regensburg.

Deutsche Medizinische Wochenschrift (1946)
|March 1, 1996
PubMed
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This case study highlights a rare instance of a congenital choledochal cyst presenting in adulthood with iron deficiency anemia. Surgical removal led to a full recovery, demonstrating successful management of this unusual presentation.

Area of Science:

  • Gastroenterology
  • Hepatobiliary Surgery
  • Medical Diagnostics

Background:

  • Congenital choledochal cysts are rare biliary tract malformations.
  • Presentation in adulthood, especially with anemia, is highly unusual.

Observation:

  • A 45-year-old woman presented with ankle fracture and severe iron deficiency anemia.
  • Abdominal sonography revealed a cystic mass near the gallbladder; ERCP confirmed a type Ia choledochal cyst without malignancy.
  • The patient also had a prepapillary common choledochal and Wirsung duct abnormality.

Findings:

  • Diagnosis: Congenital choledochal cyst (Todani type Ia).
  • Treatment involved surgical excision of the cyst and Roux-en-Y anastomosis.
  • Histopathology confirmed benign cystic tissue.

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Implications:

  • This case underscores the importance of considering rare diagnoses in adult patients with unexplained symptoms.
  • Successful surgical management can lead to complete resolution of symptoms and anemia.
  • Highlights the unusual late presentation of congenital choledochal cysts in European populations.