Choledochal cyst is a rare pathological condition, which represents 1% of benign diseases of the biliary tract. It is seen with significant frequency in childhood, with a higher prevalence in females. Diagnosis is primarily based on clinical suspicion. Its symptoms are variable and its treatment, depending on the type, is surgical. Case Report: A 5-year-old female childhood, weighing 20 kg presented with a two weeks history of upper abdominal pain, jaundice and low-grade fever for 8 days, accompanied by high colored urine, and pale colored stools. Our case diagnosis was made by biochemical parameters and ultrasonography, CT-scan. The recurrent cholangitis, pancreatitis and malignant diseases associated with choledochal cysts mandate early diagnosis and definitive surgical management.
Cite this paper
Al-Ba’adani, M. N. , Alammari, S. A. and Jumman, N. A. (2022). Choledochal Cysts Diagnosis and Treatments: Case Report. Open Access Library Journal, 9, e7382. doi: http://dx.doi.org/10.4236/oalib.1107382.
de Vries, J.S., de Vries, S., Aronson, D.C., et al. (2002) Choledochal Cysts: Age of Presentation, Symptoms, and Late Complications Related to Todani’s Classification. Journal of Pediatric Surgery, 37, 568-1573. https://doi.org/10.1053/jpsu.2002.36186
Todani, T., Yosuhiro, W., Narasue, M., et al. (1977) Congenital Bile Duct Cysts: Classification, Operative Procedures and Review of 37 Cases Including Cancer Arising from Choledochal Cyst. American Journal of Surgery, 134, 263-269.
https://doi.org/10.1016/0002-9610(77)90359-2
Kim, M.J., Han, S.J., Yoon, C.S., Kim, J.H., Oh, J.T., Chung, K.S. and Yoo, H.S. (2002) Using MR Cholangiopancreatography to Reveal Anomalous Pancreaticobiliary Ductal Union in Infants and Children with Choledochal Cysts. American Journal of Roentgenology, 179, 209-214. https://doi.org/10.2214/ajr.179.1.1790209
Kobayashi, S., Asano, T., Yamasaki, M., Kenmochi, T., Nakagohri, T. and Ochiai, T. (1999) Risk of Bile Duct Carcinogenesis after Excision of Extrahepatic Bile Ducts in Pancreaticobiliary Maljunction. Surgery, 126, 939-944.
https://doi.org/10.1016/S0039-6060(99)70036-X
Ono, J., Sakoda, K. and Akita, H. (1982) Surgical Aspects of Cystic Dilatation of the Bile Duct: An Anomalous Junction of Pancreaticobiliary Junction. Annals of Surgery, 195, 203-208. https://doi.org/10.1097/00000658-198202000-00014
Weyant, M.J., Maluccio, M.A., Bertagnolli, M.M. and Daly, J.M. (1998) Choledochal Cysts in Adults: A Report of Two Cases and Review of the Literature. American Journal of Gastroenterology, 93, 2580-2583.
https://doi.org/10.1111/j.1572-0241.1998.00633.x
Wiserman, K., Buczkowski, A.K. and Chung, S.W. (2005) Epidemiology, Presentation, Diagnosis and Outcomes of Choledochal Cysts in Adults in an Urban Environment. American Journal of Surgery, 189, 527-331.
https://doi.org/10.1016/j.amjsurg.2005.01.025
