Type I Choledochal Cyst with Abnormal Union of the Pancreaticobiliary Junction Presenting with Ruptured Gallbladder Carcinoma

2005 ◽  
Vol 100 ◽  
pp. S261-S262
Author(s):  
Matthew T. Nichols ◽  
Raj Shah ◽  
Yang Chen ◽  
Mainor Antillon ◽  
Cyrus Piraka ◽  
...  
Keyword(s):  
Choledochal Cyst ◽  
Gallbladder Carcinoma ◽  
Type I

scholarly journals Rare Presentation of the Type I Choledochal Cyst in a Young Adult

HPB ◽  
2021 ◽  
Vol 23 ◽  
pp. S352
Author(s):  
N.Y. Muppalla ◽  
S. Sankar
Keyword(s):  
Young Adult ◽  
Choledochal Cyst ◽  
Type I ◽  
Rare Presentation

scholarly journals Choledochal Cyst Coexisting with Gallbladder Carcinoma - An Uncommon Case Report

2017 ◽  
Vol 16 (4) ◽  
pp. 602-605
Author(s):  
Jahangir Hossain Bhuiyan ◽  
Mohibul Aziz ◽  
Omar Faruk ◽  
Mahbub Hasan
Keyword(s):  
Choledochal Cyst ◽  
Gallbladder Carcinoma ◽  
Medical Science ◽  
Rare Condition ◽  
Exploratory Laparotomy ◽  
Abdominal Ultrasound ◽  
Low Grade ◽  
College Hospital ◽  
Medical College ◽  
Operative Recovery

Choledochal Cyst is a relatively rare condition. Even rarer is a choledochal cyst in association with a gallbladder carcinoma. This study reports a rare case of choledochal cyst coexisting with gallbladder carcinoma in a Bangladeshi patient. A 35 year old lady presented at IBN Sina Medical College Hospital, Kallyanpur, Dhaka with the history of recurrent right upper quadrant abdominal pain from childhood, which became severe for last 4 days before admission. The pain was colicky in nature and radiated to the back. Episodes were associated with low-grade fever, anorexia as well as vomiting. The preoperative diagnosis was made by abdominal ultrasound and MRCP. Exploratory laparotomy, enbloc cholecystectomy with excision of the choledochal cyst and roux-en-Y hepaticojejunostomy was also done. Post operative recovery was uneventful. Patient was followed up for six months and no obvious complication was noticed. Early suspicion of this rare pancreato-billiary disease is important because surgical treatment is the only way to avoid the complications of the disease.Bangladesh Journal of Medical Science Vol.16(4) 2017 p.602-605

Choledochal cyst type I (Todani)

1996 ◽  
Vol 31 (3) ◽  
pp. 452
Author(s):  
G.H Willital
Keyword(s):  
Choledochal Cyst ◽  
Type I ◽  
Cyst Type

Laparoscopic management of type VI choledochal cyst with common bile duct stone: report of a case and review of literature

2021 ◽  
Vol 14 (10) ◽  
pp. e244393
Author(s):  
G Revathi ◽  
Brijesh Kumar Singh ◽  
Yashwant Singh Rathore ◽  
Sunil Chumber
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Choledochal Cyst ◽  
Cystic Duct ◽  
Incidental Finding ◽  
Laparoscopic Approach ◽  
Biliary Colic ◽  
Type I ◽  
Laparoscopic Management ◽  
Cyst Excision

A young adult male presented with biliary colic and intermittent jaundice for 1 year. Abdomen findings were unremarkable. Routine investigations revealed a raised total bilirubin. On abdominal ultrasonography, common bile duct (CBD) dilatation with multiple stones was noted. On further imaging with magnetic resonance cholangiopancreatography, type I choledochal cyst (CDC) was suspected. A laparoscopic approach was planned. Intraoperatively, dilatation of cystic duct was noted which constitute type VI CDC. Partial malrotation of the gut and accessory right hepatic artery were also noted as incidental finding. Laparoscopic cholecystectomy with CBD exploration and removal of stones, biliary stent placement, cystic duct cyst excision and primary repair of CBD was done. Postoperatively, the patient improved symptomatically with a fall in bilirubin to normal range. We are describing the laparoscopic management of a rare case of type IV CDC which was diagnosed intraoperatively.

Laparoscopic management of type I choledochal cyst in adults: cyst resection, assisted Roux-en-Y reconstruction and hepaticojejunostomy

2009 ◽  
Vol 18 (1) ◽  
pp. 61-65 ◽  
Author(s):  
Da-Qing Sun ◽  
Ming-Zhi Gong ◽  
Yuan-Jun Hu ◽  
Lei Zhang ◽  
Zhao-Hui Sun ◽  
...  
Keyword(s):  
Choledochal Cyst ◽  
Type I ◽  
Laparoscopic Management

scholarly journals Choledochal cyst perforation: experience from a centre with limited emergency resources

2021 ◽  
Vol 8 (10) ◽  
pp. 1739
Author(s):  
Amitkumar Jadhav ◽  
Goutam Chakraborty ◽  
Nidhi Sugandhi ◽  
Sameer Kant Acharya
Keyword(s):  
Choledochal Cyst ◽  
General Condition ◽  
Rare Complication ◽  
Management Plan ◽  
Total Leucocyte Count ◽  
Common Symptom ◽  
Type I ◽  
External Drainage ◽  
Initial Manifestation ◽  
Emergency Intervention

Spontaneous perforation in Choledochal cyst (CDC) is a very rare initial manifestation and more commonly seen beyond infantile age. The management is challenging due to acute presentation, poor general condition of the patient and inflamed tissue that may jeopardize the appropriateness of any surgical intervention. The aim of the study was to analyse this rarity depending on clinical findings, diagnostic difficulty and optimum management plan in a limited resource set-up. It was a retrospective observational study where five patients presenting to the casualty department with biliary peritonitis between January 2015 and December 2020 were included. They were analysed with respect to symptomatology, laboratory parameters, radiology, emergency intervention with findings and definitive management plan. A female preponderance (60%) was found. Mean age was 5.4 years. One was a known case of CDC. Abdominal pain was the most common symptom. Inflammatory markers like Total leucocyte count (TLC) and Erythrocyte sedimentation rate (ESR) were raised in all (100%). Lipase was raised in 40% (2/5). Anaemia and low serum albumin were non-specific findings. A dilated Common bile duct (CBD) on Ultrasound (US) was seen in 80% (4/5). Magnetic resonance cholangio pancreaticography (MRCP) demonstrated type I CDC in all. All underwent laparotomy with lavage and external drainage followed by interval definitive surgery. Pre-operative diagnosis of a perforated CDC may not be possible. Strong clinical suspicion and bilious peritoneal fluid may point to this rare complication. Minimum exploratory manoeuvre with good lavage and external drainage should be the optimum emergency intervention. Definitive bilio-pancreatic reconstruction should be performed when tissue oedema subsides and general condition is improved. This approach usually achieves a rewarding outcome.

Sign in / Sign up

Export Citation Format

Share Document