Type I Choledochal Cyst Complicated With Acute Hemorrhagic Pancreatitis: A Case Report

• Published in: Journal of medical ultrasound Vol. 25; no. 4; pp. 235 - 239
• Main Authors: Tsai, Ping-Hua, Yen, Yueh-Chin, Chou, Yi-Hong, Lin, Chien-Hua, Bai, Yu-Lin, Kao, Shu-Chuan, Lin, Yu-Meu, Wang, Yu-Ling, Chou, Ya-Chun, Lee, Peter Tien-Ying, Tiu, Chui-Mei
• Format: Journal Article
• Language: English
• Published: India Elsevier Taiwan LLC 01.12.2017; Medknow Publications & Media Pvt Ltd; Wolters Kluwer Medknow Publications
• Subjects: Bile duct; Case Report; Choledochal cyst; Complications; Computed tomography; Congenital anomaly; Diagnosis; Pancreatitis; Ultrasonography; Computed tomography; Complications; Ultrasonography; Pancreatitis; Congenital anomaly; Choledochal cyst; Diagnosis; Bile duct
• ISSN: 0929-6441; 2212-1552
• DOI: 10.1016/j.jmu.2017.09.003

Choledochal cysts rarely present with acute pancreatitis. We report a patient with type I choledochal cyst(s) who had concomitant acute frank hemorrhagic pancreatitis. A 14-year-old male noted with a history of recurrent abdominal pain, fever and jaundice. Ultrasonography (US) of abdomen at the Emergency Department depicted distended gall bladder with wall thickening. Apparently dilated intrahepatic ducts (IHDs) and fusiform dilatation of the common bile duct (CBD), and mild dilatation of the pancreatic duct were also noted, suggesting a type I choledochal cyst( ). Computed tomography (CT) demonstrated calcifications in the uncinate process of the pancreas in addition to the similar findings on US. He subsequently underwent choledochal cyst excision with a Roux-en-Y hepaticojejunostomy. After surgical treatment, he has been doing well for 3 years.