Choledochal Cyst: Diagnosis and Surgical Treatment

Abstract

A 20-year old woman with a 2-month history of epigastric pain, progressive jaundice and obstructive liver biochemistry underwent imaging of the biliary tract, carried out using ultrasonography, CT-scan and MRI. Abdominal ultrasound showed a dilation of the choledochal duct. CT-scan and MRI revealed a cystic dilation of the choledochal duct.

Because of possible malignant degeneration, en-bloc cholecystectomy and resection of the cyst were performed, with Roux-en-Y hepaticojejunostomy reconstruction.

This case demonstrates the diagnostic value of MRI and MRCP in a pathology that is rather rare in Western countries.

Key Words:

• Choledochal cyst
• bile duct cyst

Additional information

Notes on contributors

A. M. Wolthuis

A. M. Wolthuis A.Z. imelda imeldalaan 9 B-2820 Bonheiden, Belgium Tel.: [phone] E-mail: [email protected]