Choledochal Cyst – case report
Abstract
Choledochal cysts are anatomical variations of the intra or extrahepatic biliary tree.
Reported frequency rates range from 1 case per 100.000 to 1 case per 2 million with a female-to-male ratio in the range of 4:1.
We report a case of a 22-year-old male, with right upper quadrant pain, carrying a gastroduodenoscopy compatible with antral gastropathy and duodenal procidence by external compression. The computed tomography (CT) scan showed a choledocal cyst with microlithiasis inside, compressing the second portion of the duodenum. The patient performed an endoscopic retrograde cholangiopancreatography (ERCP) and a cholangio-MR (MRCP), that confirmed the diagnosis.
Surgery included cholecystectomy and complete excision of the cyst with sphincteroplasty.
No intra or postoperative complications were observed.
Keywords: Choledochal Cyst; Cyst excision; Bile ducts.