Choledochal cyst: diagnosis and surgical treatment.
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.
Department of General Surgery and Traumatology, A Z Imelda, Bonheiden, Belgium. amwolthuis@hotmail.com
A M
AM
Wolthuis
T
T
Tollens
C
C
Aelvoet
J P
JP
Vanrijkel
D000328:Adult; D000713:Anastomosis, Roux-en-Y; D049448:Cholangiopancreatography, Magnetic Resonance; D002763:Cholecystectomy; D015529:Choledochal Cyst / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D007091:Image Processing, Computer-Assisted; D021621:Imaging, Three-Dimensional; D007582:Jejunostomy; D008111:Liver Function Tests; D014057:Tomography, X-Ray Computed