Type VI choledochal cyst: A case report

Budipramana, Vicky Sumarki; Saraswati, Putu Ayu Sita

doi:10.1016/j.ijscr.2020.02.033

Cited by 5 publications

(3 citation statements)

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“…This reflux is due to abnormalities in the pancreaticobiliary duct relationship (Choledochalpancreatic or pancreatic-choledochal). 6,8,10 Figure 3. Classification of choledochal cysts according to Todani 14 Diagnosis of choledochal duct cysts in this patient was made based on physical examination, laboratory, and CT scan imaging.…”

Section: Disscusionmentioning

confidence: 99%

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Choledochal Cysts in Female Adult: Diagnostic Pitfall and Conservative Therapy for Bile Leak

Fuadhi,

Barmawi,

Sofii

et al. 2023

SMedJour

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Introduction: Choledochal cysts that are accompanied by obstructive jaundice are a rare case. These cysts can cause intrahepatic or extrahepatic ductal dilatation. Their diagnosis is difficult, particulary in adults. Proper management can prevent further complications.Methods: A serial case report of a patient with a choledochal cyst.Results: 2 female patients aged 21 years and 22 years have a painful and fixed lump in the upper right abdomen. The first patient also complained jaundice. Laboratory results showed an increase in total bilirubin and direct bilirubin. The second patient didn’t complaint about jaundice or increased bilirubin, and she had a cholecystectomy when she was ten. The diagnosis was confirmed by a contrast abdominal CT scan, showing type 1A Todani choledochal cysts in both patients. Management of the first patient was cyst excision, cholecystectomy, and Roux n Y hepaticojejunostomy. In the second patient, adhesiolysis, cyst excision, and Roux n Y hepaticojejunostomy were performed. The second patient had no postoperative complications.Conclusion: Choledochal cysts are a rare congenital condition in adulthood. n both cases, two patients were manage surgically. Bile leakage complications can be manage conservatively. Diagnostic and management of choledochal cysts must be correct to prevent pitfall and complications.

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Section: Disscusionmentioning

confidence: 99%

“…Choledochal cysts are classified into five types, according to Todani 5 . The Todani classification combines the Lej classification and the Caroli disease variation 6 . Ultrasonography (USG) is used as an initial examination of the choledochal cyst, followed by a computed tomography (CT) scan.…”

Section: Introductionmentioning

confidence: 99%

Choledochal Cysts in Female Adult: Diagnostic Pitfall and Conservative Therapy for Bile Leak

Fuadhi,

Barmawi,

Sofii

et al. 2023

SMedJour

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“…[ 7 ] Additionally, type VI (including BC of the isolated cystic duct) has been described. [ 8 ] BC need surgery to avoid complications associated with pancreaticobiliary reflux. It depends on the cyst type.…”

Section: Introductionmentioning

confidence: 99%

A giant biliary cyst of Todani IA in a young woman

Mrowiec¹,

Jabłońska²,

Baron³

et al. 2021

Medicine

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Rationale: Biliary cysts (BC) are rare dilatations of various parts of a biliary tract. They account for approximately 1% of all benign biliary diseases. Total cyst excision and Roux-Y hepaticojejunostomy is the treatment method of choice in most patients. In this paper, a novel surgical treatment with the use of internal biliary and pancreatic catheters was presented. Patient concerns: A 21-years-old woman with a giant choledochal cyst of Todani IA type presenting with abdominal pain, nausea, fever and palpable abdominal mass. It had been previously drained as a misdiagnosed pancreatic cyst in another hospital. Diagnosis: A very high amylase level (107140,0 U/l) in drain fluid was noted in laboratory tests. Endoscopic retrograde cholangiopancreatography revealed a biliary cyst located in the distal common bile duct and a pancreaticobiliary anomaly was suggested. A cholangiography per catheter inserted to the biliary cyst showed a large round contrast-filled cyst. A cholangiography following cyst decompression revealed a very long, tortuous bile duct entering the duodenum. Interventions: Cholecystectomy, cyst resection, Roux-Y hepaticojejunostomy, and implantation of catheters into pancreatic and bile duct were performed. The postoperative course was uneventful and she was discharged on 12th day without any complications. Histopathology revealed a cyst wall partially lined with biliary-type and mucinous epithelium, with dysplasia ranging from low to high grade (biliary intraepithelial neoplasia, high grade), without invasion. Outcomes: The biliary and pancreatic catheters were removed during endoscopic retrograde cholangiopancreatography 8 weeks following surgery without any complications. Fourteen months later, the patient reported good health. Lessons: Diagnosis of the abdominal cyst should be very precise in order to avoid misdiagnosis and inadequate management. The early diagnosis and proper treatment of BC are needed in order to avoid serious complications. The cholangiocarcinoma is the most dangerous potential complication of BC due to dysplasia within the cyst wall as in our young female patient.

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