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Type 1 choledochal cyst

Case contributed by Utkarsh Kabra
Diagnosis almost certain

Presentation

Abdominal pain.

Patient Data

Age: 5 years
Gender: Female
mri

Fusiform cystic dilatation of common hepatic and common bile ducts. Dilatation is up to the junction of common bile duct and main pancreatic duct. Confluence is patent with mildly prominent right and left main hepatic ducts. Maximum dimensions of CBD are 30 x 10 mm. 

Abnormal high junction of pancreatic duct and CBD is seen with abnormally long common channel, measuring 12 mm in length. 

Liver, spleen and both kidneys are unremarkable. 

Case Discussion

Findings are consistent with a type 1 choledochal cyst.

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