Choledochal cyst mimicking as choledocholithiasis: A case report and review of literature.

Autor: Farrukh AM; University of Galway School of Medicine, Galway, Ireland., Bhagat HR; AMC MET Medical College, Ahmedabad, GJ, India., Ismail MB; Kismayo Medical Center, Kismayo, Somalia., Sandesara MP; CU Shah Medical College, Surendranagar, GJ, India., Assal MW; Faculty of Medicine, Zagazig University, Zagazig, Egypt., Makonyonga RD; Ivano-Frankivsk National Medical University, Ivano-Frankivsk, Ivano-Frankivsk Oblast, Ukraine.
Jazyk: angličtina
Zdroj: SAGE open medical case reports [SAGE Open Med Case Rep] 2023 Dec 30; Vol. 12, pp. 2050313X231223317. Date of Electronic Publication: 2023 Dec 30 (Print Publication: 2024).
DOI: 10.1177/2050313X231223317
Abstrakt: Choledochal cysts are rare congenital anomalies of the biliary system, mostly diagnosed during childhood. In adults, a lower incidence and symptom overlap with more common biliary conditions may hinder the diagnosis. This case study presents a 50-year-old female patient who presented with abdominal pain and multiple gallstones on ultrasonography which also showed a dilation of the common bile duct, presumably left by a stone that had already passed. However, the dilation still existed 3 days later, which raised suspicion of a choledochal cyst. Magnetic resonance cholangiopancreatography was performed, and following surgical consultation, the patient underwent a successful cyst excision by Roux-en-Y hepaticojejunostomy with a smooth recovery leading to hospital discharge. This case highlights the importance of considering choledochal cysts as one possible diagnosis in adults with biliary symptoms and the significance of the more specific imaging modalities such as magnetic resonance cholangiopancreatography.
Competing Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
(© The Author(s) 2024.)
Databáze: MEDLINE