Type I Choledochal Cyst Complicated With Acute Hemorrhagic Pancreatitis: A Case Report |
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| Authors: | Ping-Hua Tsai Yueh-Chin Yen Yi-Hong Chou Chien-Hua Lin Yu-Lin Bai Shu-Chuan Kao Yu-Meu Lin Yu-Ling Wang Ya-Chun Chou Peter Tien-Ying Lee Chui-Mei Tiu |
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| Affiliation: | 1. Department of Internal Medicine, Chang Bing Show Chwan Memorial Hospital, Changhua, Taiwan;2. Department of Radiology, Taipei Veterans General Hospital, School of Medicine, National Yang Ming University, Taipei, Taiwan;3. Yuanpei University of Medical Technology, Hsinchu, Taiwan;4. Yee Zen Hospital, Taoyuan, Taiwan;5. Department of Surgery, Chang Bing Show Chwan Memorial Hospital, Changhua, Taiwan |
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| Abstract: | 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. |
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| Keywords: | Ultrasonography Computed tomography Congenital anomaly Bile duct Choledochal cyst Complications Pancreatitis Diagnosis |
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