Type 4a choledochal cyst

Case contributed by Md Imdadul Islam


Vague abdominal pain and jaundice.

Patient Data

Age: 10 years
Gender: Male

Multi-sequence MR images showing fusiform dilatation of  extra hepatic bile ducts and also involving intrahepatic biliary radicles. No stricture or calculus noted within the biliary tree.

Additional findings are mild ascites and bilateral mild pleural effusions.

Case Discussion

Fusiform dilatation of both extra and intrahepatic bile ducts without stricture or obstructing lesion consistent with type 4a choledochal cyst.

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