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Int J Angiol
DOI: 10.1055/s-0034-1376317
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Type VI Choledochal Cyst—An Unusual Presentation of Jaundice

Lakshmi Nambiar
1   Department of Surgery, Hofstra North Shore–LIJ School of Medicine, Hofstra University, Hempstead, New York
,
Asha Alex
1   Department of Surgery, Hofstra North Shore–LIJ School of Medicine, Hofstra University, Hempstead, New York
,
Eric Siskind
1   Department of Surgery, Hofstra North Shore–LIJ School of Medicine, Hofstra University, Hempstead, New York
,
Adam W. Shen
1   Department of Surgery, Hofstra North Shore–LIJ School of Medicine, Hofstra University, Hempstead, New York
,
Cathy Fan
2   Department of Pathology, Hofstra North Shore–LIJ School of Medicine, Hofstra University, Hempstead, New York
,
Greg Grimaldi
3   Department of Radiology, Hofstra North Shore–LIJ School of Medicine, Hofstra University, Hempstead, New York
,
Charles Choy
1   Department of Surgery, Hofstra North Shore–LIJ School of Medicine, Hofstra University, Hempstead, New York
,
Juan Madariaga
1   Department of Surgery, Hofstra North Shore–LIJ School of Medicine, Hofstra University, Hempstead, New York
,
Jeffrey Nicastro
1   Department of Surgery, Hofstra North Shore–LIJ School of Medicine, Hofstra University, Hempstead, New York
,
Ernesto P. Molmenti
1   Department of Surgery, Hofstra North Shore–LIJ School of Medicine, Hofstra University, Hempstead, New York
,
Gene Coppa
1   Department of Surgery, Hofstra North Shore–LIJ School of Medicine, Hofstra University, Hempstead, New York
› Author Affiliations
Further Information

Publication History

Publication Date:
04 May 2015 (online)

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Abstract

Choledochal cysts involving the cystic duct are extremely rare, and are usually associated with cystic dilatations of the extrahepatic biliary tract. We describe a patient who presented with jaundice and was found to have a dilatation of the common bile duct on computed tomographic imaging, consistent with a choledochal cyst. He underwent a laparoscopic-converted-to-open cholecystectomy with excision of the choledochal cyst which was found to involve the cystic duct. Choledochal cysts involving the cystic duct are notably missing from the Todani classification. Although exceedingly rare, new cases of these types of cysts are being reported, in part due to advancement of diagnostic imaging modalities. We discuss the current classification scheme for choledochal cysts and we propose an expansion of this scheme.

Keywords

choledochal cyst - hepatobiliary - jaundice - cystic duct - cholecystectomy - Todani classification
 

  • References

  • 1 Jabłońska B. Biliary cysts: etiology, diagnosis and management. World J Gastroenterol 2012; 18 (35) 4801-4810
    CrossrefPubMedGoogle Scholar
  • 2 Yoon JH. Magnetic resonance cholangiopancreatography diagnosis of choledochal cyst involving the cystic duct: report of three cases. Br J Radiol 2011; 84 (997) e18-e22
    CrossrefPubMedGoogle Scholar
  • 3 O'Neill Jr JA. Choledochal cyst. Curr Probl Surg 1992; 29 (6) 361-410
    PubMedGoogle Scholar
  • 4 Singham J, Yoshida EM, Scudamore CH. Choledochal cysts: part 1 of 3: classification and pathogenesis. Can J Surg 2009; 52 (5) 434-440
    PubMedGoogle Scholar
  • 5 Singham J, Yoshida EM, Scudamore CH. Choledochal cysts: part 2 of 3: Diagnosis. Can J Surg 2009; 52 (6) 506-511
    PubMedGoogle Scholar
  • 6 Singham J, Yoshida EM, Scudamore CH. Choledochal cysts. Part 3 of 3: management. Can J Surg 2010; 53 (1) 51-56
    PubMedGoogle Scholar
  • 7 Maheshwari P. Cystic malformation of cystic duct: 10 cases and review of literature. World J Radiol 2012; 4 (9) 413-417
    CrossrefPubMedGoogle Scholar
  • 8 Sacher VY, Davis JS, Sleeman D, Casillas J. Role of magnetic resonance cholangiopancreatography in diagnosing choledochal cysts: case series and review. World J Radiol 2013; 5 (8) 304-312
    CrossrefPubMedGoogle Scholar
  • 9 Todani T, Watanabe Y, Narusue M, Tabuchi K, Okajima K. Congenital bile duct cysts: classification, operative procedures, and review of 37 cases including cancer arising from choledochal Cyst. Am J Surg 1977; 134: 263-269
    CrossrefPubMedGoogle Scholar