Harrabi Fathia, Ammar Houssem, Ben Latifa Mahdi, Said Mohamed Amine, Chrigui Raoudha, Ben Hamada Habiba, Gupta Rahul, Ben Mabrouk Mohamed, Ben Ali Ali
Gastrointestinal Surgery, Sahloul Hospital, University of Sousse, Sousse, TUN.
Anesthesiology and Critical Care, Sahloul Hospital, University of Sousse, Sousse, TUN.
Cureus. 2022 Oct 1;14(10):e29806. doi: 10.7759/cureus.29806. eCollection 2022 Oct.
A choledochal cyst (CC) is a rare congenital anomaly manifested as cystic dilatation of the biliary tree. A giant choledochal cyst is defined as a cyst with a maximum diameter of ≥ 10 cm. It is an unusual entity and rarely revealed in adulthood. We describe the case of a giant, infected CC presenting as acute pancreatitis with results of abdominal ultrasound and computed tomography consistent with a pancreatic pseudocyst. The diagnosis of CC was made on magnetic resonance cholangiopancreatography (MRCP) findings. We proceeded with cholecystectomy and the complete resection of the diverticulum after its dissection. The defect in the common bile duct was closed transversally over a T-tube. At the last follow-up two years after his admission, the patient is symptom-free with normal liver enzymes To the best of our knowledge, this is the first case reported of giant CC complicated with both infection and pancreatitis.
胆总管囊肿（CC）是一种罕见的先天性异常，表现为胆管树的囊性扩张。巨大胆总管囊肿定义为最大直径≥10 cm的囊肿。它是一种不常见的病症，在成年期很少被发现。我们描述了一例巨大的、感染性CC病例，该病例表现为急性胰腺炎，腹部超声和计算机断层扫描结果与胰腺假性囊肿一致。CC的诊断基于磁共振胰胆管造影（MRCP）结果。我们进行了胆囊切除术，并在分离后完整切除憩室。胆总管的缺损在T形管上方横向闭合。在患者入院两年后的最后一次随访中，患者无症状，肝酶正常。据我们所知，这是首例报道的巨大CC合并感染和胰腺炎的病例。
