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A giant choledochal cyst: A case reported from Tanzania
- Source :
- International Journal of Surgery Case Reports
- Publication Year :
- 2021
- Publisher :
- Elsevier BV, 2021.
-
Abstract
- Highlights • Choledochal cyst is a rare malformation of the common bile duct causing jaundice in the pediatric group. • Diagnosis can easily be made using abdominal ultrasonography, hence a high degree of suspicion is needed among clinicians. • Surgery, open or laparoscopic, remains the core management depending upon the availability of the resources and expertise.<br />Introduction Choledochal cyst is a rare common bile duct malformation that usually presents in the pediatric group with abdominal pain, distension, and jaundice. The pathophysiology remains unclear for the cause, and surgery aims to restore biliary enteric drainage. Case presentation We present a six-year-old female who presented with gradual abdominal distention associated with jaundice. Abdominal ultrasound was suggestive of choledochal cyst, and CT-scan confirmed the diagnosis. She was operated on successfully and fared well. Conclusion Choledochal cysts are a rare entity of common bile duct malformations and should be considered as a differential diagnosis in the pediatric age group. Diagnosis can be easily made by non-invasive and in-expensive radiologic modalities like ultrasonography in resource-limited settings.
- Subjects :
- medicine.medical_specialty
Abdominal pain
Enteric drainage
ALT, alanine transaminase
Jaundice
Case Report
INR, international normalised ratio
Distension
Pediatrics
Tanzania
Roux-en-Y
03 medical and health sciences
0302 clinical medicine
AST, aspartate transaminase
PT, prothrombin time
medicine
Choledochal cysts
MRCP, magnetic resonance cholangiopancreatography
CC, choledochal cyst
Common bile duct
Choledochal cyst
business.industry
medicine.disease
Roux-en-Y anastomosis
CT, computed tomography
PTC, percutaneous transhepatic cholangiography
medicine.anatomical_structure
030220 oncology & carcinogenesis
030211 gastroenterology & hepatology
Surgery
Radiology
aPTT, partial thromboplastin time
Differential diagnosis
medicine.symptom
business
APBDJ, abnormal pancreaticobiliary junction
MRI, magnetic resonance imaging
ERCP, endoscopic retrograde cholangiopancreatography
MIS, minimally invasive surgery
Subjects
Details
- ISSN :
- 22102612
- Volume :
- 81
- Database :
- OpenAIRE
- Journal :
- International Journal of Surgery Case Reports
- Accession number :
- edsair.doi.dedup.....4d71ebf7b9d60e248afe9e2ac51ef8dc