Choledochal cyst

Case contributed by Dr Bruno Di Muzio

Presentation

45 years old female with a long history of abdominal pain, nauseas and post-prandial discomfort. On physical examination surgeon palpated an abdominal epigastric mass. No signs of jaundice were found.

Patient Data

Age: 45
Gender: Female
Ultrasound

US shows a cyst mass near the pancreatic head. 

1- splenic vein; 2- portal vein; 3 - cystic mass; 4 - Superior mesenteric artery; 

Tortuous cystic duct that joins the gallbladder to the cystic mass (1 to 4).

 

 

 

Case Discussion

Ultrasound study shows a cystic mass between the pancreatic head and the gallbladder. Smooth wall and homogeneous anechoic content were detected.

The study is compatible with dilatation of entire extrahepatic bile duct, that's also known as a true choledochal cyst. Is the type 1 of Todani classification of bile duct cysts.

Unfortunately, no further imaging was made available for correlation with the ultrasound findings. 

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Case information

rID: 12904
Published: 31st Jan 2011
Last edited: 24th Apr 2018
Inclusion in quiz mode: Excluded

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