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| Type IV congenital choledochal cyst concurrent with acute pancreatitis: a case report |
| Jing-Tong Wang and Nan Wu |
Beijing, China
Author Affiliations: Department of Gastroenterology, People’s Hospital, Beijing University, Beijing 100044, China (Wang JT and Wu N)
Corresponding Author: Jing-Tong Wang, MD, Department of Gastroenterology, People’s Hospital, Beijing University, Beijing 100044, China (Tel: 86-10-88360682; Fax: 86-10-68318386; Email: jingtongw@yahoo.com.cn) |
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Abstract BACKGROUND: Congenital choledochal cyst is a rare kind of bile duct deformity, resulting from cystic or shuttle-like dilation of part of the choledochal duct congenitally. We present a 20-year-old girl with a congenital choledochal cyst complicated by acute pancreatitis.
METHOD: The clinical data of the woman with a congenital choledochal cyst concurrent with acute pancreatitis were retrospectively analyzed.
RESULT: The congenital choledochal cyst of the woman was type IV complicated by acute pancreatitis.
CONCLUSIONS: The diagnosis of congenital choledochal cyst mainly depends on CT, MRCP, and ERCP. Total excision of the choledochal cyst with Roux-en-Y hepaticojejunostomy is recommended as the treatment. For patients with type V cysts with frequently recurrent cholangitis resulting biliary liver cirrhosis, liver transplantation should be considered.
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2005, Vol. 4 
