Diagnostic dilemma in a large choledochal cyst

  • Tul Maya Gurung Ishan Children and Women's Hospital, Kathmandu, Nepal
  • Rabin Koirala Nepal Medical College Teaching Hospital, Jorpati, Kathmandu, Nepal
  • Amit Shrestha Nepal Medical College Teaching Hospital, Jorpati, Kathmandu, Nepal
Keywords: Choledochal cyst, Hepaticojejunostomy, Percutaneous biliary drainage

Abstract

Choledochal cysts are rare congenital anomalies that have a variable presentation with occasional diagnostic and therapeutic dilemmas.

Our case is a 14-year female presented with recurrent abdomen pain with confusing diagnostic findings, suggestive of a large choledochal cyst (22x29x17cm) initially managed by percutaneous tube biliary drainage and later underwent excision and HPE revealing non-malignant findings.

The choledochal cyst should always be a differential diagnosis for any patient presenting with an abdominal mass and should be managed accordingly.

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Author Biographies

Tul Maya Gurung, Ishan Children and Women's Hospital, Kathmandu, Nepal

Depattment of Surgery

Rabin Koirala, Nepal Medical College Teaching Hospital, Jorpati, Kathmandu, Nepal

Department of Surgery

Amit Shrestha, Nepal Medical College Teaching Hospital, Jorpati, Kathmandu, Nepal

Department of Surgery

Published
2019-12-31
How to Cite
Gurung, T., Koirala, R., & Shrestha, A. (2019). Diagnostic dilemma in a large choledochal cyst. Journal of Society of Surgeons of Nepal, 22(2), 38-40. https://doi.org/10.3126/jssn.v22i2.28744
Section
Case Reports