• November 1, 2023
  • Dr. Bhavesh Doshi
  • 0

Choledochal Cyst

Choledochal Cyst

Case No. 18: Choledochal Cyst

  • Congenital anomaly involving cystic dilatation of various ducts of the biliary tree.
  • Occurs due to Pancreatico biliary maljunction leading to–> reflux of pancreatic enzymes in CBD –>damage to the ductal wall–>cyst formation.
  • Can be antenatally diagnosed. Postnatally presents with pain in the abdomen, jaundice, and palpable mass.
  • MRCP is the investigation of choice.
  • Treated with Excision of cyst with Roux-en-Y hepaticojejunostomy.
  • Complications like anastomotic stricture, cholangitis, portal hypertension, etc, are sometimes seen. However, once operated generally shows good outcomes.