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Case report: giant choledochal cyst

A J Holland1, P A Childs

  • 1Department of General Surgery, Royal Perth Hospital, Western Australia, Australia.

Journal of Gastroenterology and Hepatology
|September 1, 1996
PubMed
Summary
This summary is machine-generated.

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A rare giant choledochal cyst in an adult female was successfully excised using an intramural technique. This surgical approach ensured no malignancy evidence over a 12-year follow-up, highlighting effective management for this rare condition.

Area of Science:

  • Gastroenterology and Hepatobiliary Surgery
  • Pediatric Surgery (though this case is adult, the condition is often pediatric)
  • Surgical Oncology (due to malignancy risk)

Background:

  • Choledochal cysts are rare congenital biliary tract malformations.
  • Giant choledochal cysts are exceptionally uncommon, posing diagnostic and surgical challenges.
  • Early diagnosis and appropriate surgical intervention are crucial for preventing complications like malignancy.

Observation:

  • An adult female presented with a classic triad: abdominal mass, jaundice, and right upper quadrant pain.
  • Imaging confirmed a rare giant choledochal cyst.
  • The patient had a history of a normal pregnancy.

Findings:

  • The giant choledochal cyst was successfully excised using an intramural technique.

Related Experiment Videos

  • Biliary reconstruction was achieved with a Roux-en-Y hepaticojejunostomy.
  • The patient remained disease-free with no evidence of malignancy during a 12-year follow-up period.

    • Implications:

    • The intramural excision technique is a viable and effective surgical option for giant choledochal cysts.
    • Long-term surveillance is essential to monitor for potential recurrence or malignant transformation.
    • This case underscores the importance of considering rare diagnoses in patients presenting with classical symptoms.