Choledochal cyst: a case report and review of literature.
BACKGROUND
We present our first experience in managing a case of choledochal cyst in a two and half year old girl highlighting the difficulties in the management together with a review of literature.


METHODS
A two and half year old girl presented to the University of Maiduguri Teaching Hospital. A pertinent clinical evaluation with abdominal ultrasound allowed accurate pre-operative diagnosis.


RESULTS
A young girl with a right hypochondrial mass confirmed as choledochal cyst by ultrasound scans. Haematological parameters were normal but deranged clotting profiles were corrected with vitamin-K injection before surgical drainage.


CONCLUSIONS
High index of suspicion with abdominal ultrasound scan allowed accurate pre-operative diagnosis of choledochal cyst that was successfully managed by surgical drainage, when attempted dissection of cyst wall for excision failed.
Gall
B M
BM
Department of Surgery, University of Maiduguri Teaching Hospital, Maiduguri, Nigeria.
Madziga
A G
AG
Hamid
A U
AU
D002675:Child, Preschool; D015529:Choledochal Cyst / Q000145:classification / Q000000981:diagnostic imaging / Q000601:surgery*; D003937:Diagnosis, Differential; D004322:Drainage; D005260:Female; D006801:Humans; D014463:Ultrasonography