Choledochal cyst

Case contributed by Naqibullah Foladi
Diagnosis almost certain

Presentation

Abdominal pain. Ultrasound reported biliary dilatation.

Patient Data

Age: 15 years
Gender: Male
mri

Fusiform dilatation of proximal CBD. 
No abnormal dilatation of distal CBD.
Mild dilatation of intrahepatic biliary channels is also seen
Gallbladder is normal.

No abnormal gallbladder walls thickening or peri-gallbladder collection
No dilatation of pancreatic duct.

Case Discussion

The MRCP features are compatible with choledochal cyst type IVa (according to Todani classification)

This case is contributed by Dr Naqibullah Foladi and Dr M.M.S. Hoshang.

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