Case of a closed choledochocele with biliary and pancreatic drainage via the accessory duct causing acute pancreatitis.
Type III choledochal cysts, also called choledochoceles, are rare cystic dilatations of the terminal biliary tree. We report the case of a 'closed choledochocele', in which the bile and ventral pancreatic ducts emptied into the cyst, but because there was no outlet into the duodenum, drainage was retrograde via the accessory duct. This type of choledochocele variant has never previously been described in the medical literature.
Gordon
Stuart R
SR
Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire 03756, USA.
Levenick
John M
JM
Rath
Daniel L
DL
Gardner
Timothy B
TB
D000208:Acute Disease; D001652:Bile Ducts / Q000002:abnormalities; D002760:Cholangiopancreatography, Endoscopic Retrograde; D015529:Choledochal Cyst / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D004322:Drainage; D019160:Endosonography; D005260:Female; D006801:Humans; D010183:Pancreatic Ducts / Q000002:abnormalities; D010195:Pancreatitis / Q000209:etiology*; D016717:Sphincterotomy, Endoscopic; D055815:Young Adult