Choledochal cyst as an incidental finding during acute cholecystitis: A case report

Author:

Wern Ryan Isaac Sia Zu1ORCID,Venna Pravallika2,Sarkar Akash3,Abdul‐Haque Marwa4,Bhattessa Saachi5ORCID

Affiliation:

1. GKT School of Medical Education, King's College London Guy's Campus London UK

2. SVS Medical College Mahabubnagar India

3. Faculty of Medicine University of Debrecen Budapest Hungary

4. Faculty of Life Sciences and Education University Of South Wales Cardiff UK

5. Vinnytsia National Medical University Vinnytsia Oblast Ukraine

Abstract

Key Clinical MessageThis case demonstrates an atypical presentation of choledochal cysts (CDCs) and elaborates on the diagnostic challenges encountered when presented with CDCs in adulthood, as it principally presents in children.AbstractA choledochal cyst is a rare congenital anomaly characterized by cystic dilations in the extrahepatic and intrahepatic biliary trees. These cysts are classified according to their location and characteristics. This case study aims to demonstrate how nonspecific clinical features can pose a diagnostic dilemma when presented in adults. Additionally, the case report provides an overview of diagnostic methods and treatment options. In this case, we discuss a 50‐year‐old female who presented with a 2‐ to 3‐day history of severe colicky pain in the right upper quadrant of her abdomen without any other symptoms or abnormal laboratory tests. In addition to ultrasonography evidence of CBD dilation and cholelithiasis, MRCP results confirmed the diagnosis. She underwent surgical intervention involving cyst excision, a Roux‐en‐Y hepatojejunostomy, and a cholecystectomy. The postoperative period was without significant complications. The case presented here illustrates the potential outcomes for individuals who present with choledochal cysts during adulthood. Often, these cases present with vague symptoms or as the underlying cause of a more severe condition. This case contributes to the existing knowledge of choledochal cysts by providing insight into the clinical presentation, diagnostic methods, and treatment options.

Publisher

Wiley

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