Anand Utpal, Priyadarshi Rajeev N, Kumar Bindey
Department of GI Surgery Indira Gandhi Institute of Medical Sciences (Utpal Anand).
Department of Radiodiagnosis Indira Gandhi Institute of Medical Sciences (Rajeev N. Priyadarshi).
Ann Gastroenterol. 2012;25(1):73-75.
Choledochal cysts are uncommon congenital anomalies of the biliary tree. We report a 25-year-old female who presented with palpable abdominal lump, jaundice and fever. She was diagnosed with a huge, type IVA choledochal cyst with enormous asymmetric cystic dilatation of extrahepatic segment of left hepatic duct with the help of ultrasound and magnetic resonance cholangiopancreatography (MRCP). The patient experienced complete recovery after total resection of the entire extrahepatic cyst and Roux-en-Y hepaticojejunostomy at the level of the hilum. We discuss the clinical features, imaging characteristics and treatment of this giant Todani's type IVA choledochal cyst.
胆管囊肿是胆道系统罕见的先天性异常。我们报告一名25岁女性，她出现可触及的腹部肿块、黄疸和发热。在超声和磁共振胰胆管造影（MRCP）的帮助下，她被诊断为巨大的IVA型胆管囊肿，左肝管肝外段有巨大的不对称囊性扩张。患者在肝门水平完全切除整个肝外囊肿并进行Roux-en-Y肝空肠吻合术后完全康复。我们讨论了这种巨大的托达尼IVA型胆管囊肿的临床特征、影像学特点及治疗方法。
