Choledochal cyst

Case contributed by Dr Mohammad A. ElBeialy

Presentation

2 Years old female patient with abdominal pain, distension and mild jaundice.

Patient Data

Age: 2 Years
Gender: Female
MRI

Large cystic dilatation of the CBD with mild intrahepatic central biliary dilatation, in keeping with choledochal cyst (Todani 1). 

Ultrasound

Large cystic dilatation of the common bile duct (CBD) is seen, measuring about   8.0 x 4.3 x 4.7 cm in its main axial and CC dimensions respectively. There is also mildly dilated central intra-hepatic biliary radicles and distended gallbladder.

The liver is mildly enlarged with homogenous parenchyma, no definite focal hepatic lesion.

Normal pancreas, spleen and both kidneys.

No enlarged para-aortic lymph nodes.

No ascites.

Case Discussion

This case shows a large cystic dilatation of the CBD - Type Ia choledochal cyst. There is also a mild hepatomegaly.

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Case information

rID: 23443
Case created: 15th Jun 2013
Last edited: 25th Mar 2017
Inclusion in quiz mode: Included

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