[Choledochal cyst IV A type with primary ductal stricture].
Type IV A choledochal cyst is a very uncommon disease, characterized by congenital cystic dilatation of the biliary tree extending to the intrahepatic biliary channels also. A case of a 19-year-old female with jaundice and abdominal pain is reported. The patient underwent a thorough clinical, laboratory and imaging examination. Computerized tomography and magnetic cholangiopancreatography revealed a 13.5 cm choledochal cyst with intrahepatic involvement. Excision of the extrahepatic part of cyst was combined with a Roux-en-Y hepaticojejunostomy. A ductal stricture was discovered at the distal part of extrahepatic cyst. There were no perioperative and late complications in the follow-up.
Servicio de Cirugía General, Hospital San Roque, Córdoba, Argentina. lucasgranero@yahoo.com.ar
Lucas
L
Esteban Granero
Pablo
P
Marinelli
Daniel
D
García Andrada
Alberto
A
Marangoni
Eduardo
E
Casaretto
D000713:Anastomosis, Roux-en-Y; D002758:Cholangiography; D002763:Cholecystectomy; D015529:Choledochal Cyst / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D006801:Humans; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D055815:Young Adult