Choledocal cyst

Case contributed by Dr Hidayatullah Hamidi

Presentation

Abdominal pain, jaundice, and fever for one week.

Patient Data

Age: 6 years
Gender: Male
Ultrasound

Dilatation of the intrahepatic ducts, common hepatic duct, and common bile duct (10 mm) is noted with tapering end of the common bile duct at the pancreatic head region. The distal common bile duct is not significantly dilated (5.8 mm). The pancreatic duct is also visible and not dilated (2.1 mm in diameter).

The gall bladder is distended filled with sludge.

No cholelithiasis or choledocholithiasis is seen.

No Ascaris worm is seen in the dilated ducts.

CT

CT images confirm the sonographic findings of dilated intrahepatic ducts, common hepatic duct and common bile duct with tapering end of the common bile duct at the pancreatic head area.

Case Discussion

Keeping with the significantly dilated intrahepatic ducts and proximal parts of the common bile duct, the features are more likely of a choledochal cyst (type IVa according to Todani classification).

PlayAdd to Share

Case information

rID: 70412
Published: 13th Jan 2020
Last edited: 14th Jan 2020
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.