Choledochal cyst as an incidental finding during acute cholecystitis: A case report
Key Clinical Message This 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. Abstract A choledochal cyst is a rare congenital anomaly characteriz...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2024-02-01
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| Series: | Clinical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/ccr3.8515 |
| _version_ | 1827338733796458496 |
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| author | Ryan Isaac Sia Zu Wern Pravallika Venna Akash Sarkar Marwa Abdul‐Haque Saachi Bhattessa |
| author_facet | Ryan Isaac Sia Zu Wern Pravallika Venna Akash Sarkar Marwa Abdul‐Haque Saachi Bhattessa |
| author_sort | Ryan Isaac Sia Zu Wern |
| collection | DOAJ |
| description | Key Clinical Message This 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. Abstract A 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. |
| first_indexed | 2024-03-07T19:39:04Z |
| format | Article |
| id | doaj.art-dc87c0cb78a64b6f837c4eea41d89892 |
| institution | Directory Open Access Journal |
| issn | 2050-0904 |
| language | English |
| last_indexed | 2024-03-07T19:39:04Z |
| publishDate | 2024-02-01 |
| publisher | Wiley |
| record_format | Article |
| series | Clinical Case Reports |
| spelling | doaj.art-dc87c0cb78a64b6f837c4eea41d898922024-02-29T07:13:20ZengWileyClinical Case Reports2050-09042024-02-01122n/an/a10.1002/ccr3.8515Choledochal cyst as an incidental finding during acute cholecystitis: A case reportRyan Isaac Sia Zu Wern0Pravallika Venna1Akash Sarkar2Marwa Abdul‐Haque3Saachi Bhattessa4GKT School of Medical Education, King's College London Guy's Campus London UKSVS Medical College Mahabubnagar IndiaFaculty of Medicine University of Debrecen Budapest HungaryFaculty of Life Sciences and Education University Of South Wales Cardiff UKVinnytsia National Medical University Vinnytsia Oblast UkraineKey Clinical Message This 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. Abstract A 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.https://doi.org/10.1002/ccr3.8515adultsbiliaryCDCscholedochal cysts |
| spellingShingle | Ryan Isaac Sia Zu Wern Pravallika Venna Akash Sarkar Marwa Abdul‐Haque Saachi Bhattessa Choledochal cyst as an incidental finding during acute cholecystitis: A case report Clinical Case Reports adults biliary CDCs choledochal cysts |
| title | Choledochal cyst as an incidental finding during acute cholecystitis: A case report |
| title_full | Choledochal cyst as an incidental finding during acute cholecystitis: A case report |
| title_fullStr | Choledochal cyst as an incidental finding during acute cholecystitis: A case report |
| title_full_unstemmed | Choledochal cyst as an incidental finding during acute cholecystitis: A case report |
| title_short | Choledochal cyst as an incidental finding during acute cholecystitis: A case report |
| title_sort | choledochal cyst as an incidental finding during acute cholecystitis a case report |
| topic | adults biliary CDCs choledochal cysts |
| url | https://doi.org/10.1002/ccr3.8515 |
| work_keys_str_mv | AT ryanisaacsiazuwern choledochalcystasanincidentalfindingduringacutecholecystitisacasereport AT pravallikavenna choledochalcystasanincidentalfindingduringacutecholecystitisacasereport AT akashsarkar choledochalcystasanincidentalfindingduringacutecholecystitisacasereport AT marwaabdulhaque choledochalcystasanincidentalfindingduringacutecholecystitisacasereport AT saachibhattessa choledochalcystasanincidentalfindingduringacutecholecystitisacasereport |