Choledochal Cyst Mimicking Gallbladder with Stones in a Six-Year-Old with Right-sided Abdominal Pain.
Choledochal cysts are rare but serious bile duct abnormalities are found in young children, usually during the first year of life.1 They require urgent surgical intervention due to the risk of developing cholangiocarcinoma.2 Clinicians should consider this diagnosis and perform a point-of-care ultrasound (POCUS) when a child presents to the emergency department (ED) with findings of jaundice, abdominal pain, and the presence of an abdominal mass. We present the case of a six-year-old child presenting only with abdominal pain upon arrival to our ED and was ultimately diagnosed by POCUS to have a choledochal cyst.
University of Massachusetts, Department of Emergency Medicine, Boston, Massachusetts.
Rachna
R
Subramony
Northshore University Hospital, Department of Emergency Medicine, Manhasset, New York.
Nat
N
Kittisarapong
Northshore University Hospital, Department of Emergency Medicine, Manhasset, New York.
Isabel
I
Barata
Northshore University Hospital, Department of Emergency Medicine, Manhasset, New York.
Matthew
M
Nelson
D015746:Abdominal Pain / Q000209:etiology*; D002648:Child; D015529:Choledochal Cyst / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005704:Gallbladder / Q000000981:diagnostic imaging*; D006801:Humans; D007565:Jaundice / Q000209:etiology; D000067716:Point-of-Care Testing; D014463:Ultrasonography