Choledocal Cyst– A Case Report and A Detail Review of Literatures Including Pathogenesis, Complication And Treatment

Abstract

A case study from department of General Surgery, Jahurul Islam Medical College & Hospital, Dhaka, Bangladesh. A two year old boy presented with abdominal mass. Hematological, biochemical and ultrasonography investigation were performed. A cystic dilatation of about 10 cm noted attached to the liver and a provisional diagnosis of hepatic cyst was made. After laparoscopy a huge cyst was noted attached with the bile duct and a type 1 choledocal cyst was diagnosed. The cyst was removed with a segment of attached duct and a reconstruction surgery was performed. The cyst measured 10.5 cm in maximum dimension with about 0.2 cm of the thickness of the cyst wall. On opening the cyst contained yellowish green bile stained serous fluid. The duct measured 12.0 X 1.0 X1.0 cm. The patient had an unremarkable recovery and is well. A detailed review of literature including pathogenesis, complications and treatment were discussed.