title: Imaging features of adult choledochal cysts: a pictorial review.
abstract: Choledochal cysts are rare congenital anomalies which are principally diagnosed by disproportional dilatation of the extrahepatic bile ducts. In addition, choledochal cysts are believed to arise from the anomalous union of the common bile duct and pancreatic duct outside the duodenal wall which is also proximal to the sphincter of the Oddi mechanism. The various types of choledochal cysts have been classified on the basis of these anomalous unions (Komi classification) and their anatomical locations (Todani classification). The multidetector computed tomography with reformatted imaging, magnetic resonance cholangiopancreatography, and an endoscopic retrograde cholangiography represent the important techniques providing the anatomical resolution and detail required to properly diagnose and classify choledochal cysts and their associated abnormal features of the biliary tree, as well as their pancreaticobile duct union. This study describes the various imaging features of a choledochal cyst in adults according to the various types of anomalous unions of the pancreaticobile duct according to Komi's classification and anatomic location according to Todani's classification. Lastly, we also review and discuss the associated abnormal findings developed in biliary systems.
authors.affiliation: Department of Radiology, College of Medicine, Soonchunhyang University Bucheon Hospital, Gyunggi-do, Korea. hklee@schbc.ac.kr
authors.forename: Hae Kyung
authors.initials: HK
authors.lastname: Lee
authors.forename: Seong Jin
authors.initials: SJ
authors.lastname: Park
authors.forename: Bum Ha
authors.initials: BH
authors.lastname: Yi
authors.forename: A Leum
authors.initials: AL
authors.lastname: Lee
authors.forename: Jong Ho
authors.initials: JH
authors.lastname: Moon
authors.forename: Yun Woo
authors.initials: YW
authors.lastname: Chang
mesh_terms: D000328:Adult; D002760:Cholangiopancreatography, Endoscopic Retrograde; D049448:Cholangiopancreatography, Magnetic Resonance; D015529:Choledochal Cyst / Q000145:classification / Q000175:diagnosis*; D006801:Humans; D010183:Pancreatic Ducts / Q000002:abnormalities