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CC BY 4.0 · Surg J (N Y) 2019; 05(03): e82-e86
DOI: 10.1055/s-0039-1693652
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Type VI Choledochal Cysts—Case Report and Review of Literature

J. M. V. Amarjothi 
1   Department of Surgical Gastroenterology, Madras Medical College, Rajiv Gandhi Government General Hospital, Chennai, Tamilnadu, India
,
Villalan Ramasamy
1   Department of Surgical Gastroenterology, Madras Medical College, Rajiv Gandhi Government General Hospital, Chennai, Tamilnadu, India
,
Jeyasudhahar Jesudasan
1   Department of Surgical Gastroenterology, Madras Medical College, Rajiv Gandhi Government General Hospital, Chennai, Tamilnadu, India
,
O. L. NaganathBabu
1   Department of Surgical Gastroenterology, Madras Medical College, Rajiv Gandhi Government General Hospital, Chennai, Tamilnadu, India
› Author Affiliations
Further Information

Publication History

02 December 2018

12 June 2019

Publication Date:
23 August 2019 (online)

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Abstract

Choledochal cysts (CDC), are rare congenital dilations involving the extra hepatic biliary apparatus with or without dilation of the intrahepatic bile ducts. They are conventionally classified into five types. A new type, type VI, causing dilation of the cystic duct between the neck of the gall bladder and the common hepatic duct (CHD) has been described in medical literature which is the rarest of all these subtypes. They are commonly observed in middle aged females and are mostly symptomatic. Most of these cysts need magnetic resonance cholangiopancreatography (MRCP) for accurate diagnosis. Treatment options for these lesions are not well defined but range from simple cholecystectomy to complete excision of the entire bile duct and biliary reconstruction, as there is a concern of malignant transformation in these cysts. Hence, these rare cysts, though rare, must be borne in mind when dealing with suspicious cystic lesions in the biliary tract. Here, we present an interesting case of such a rare cyst and its management in a middle aged woman.

Keywords

choledochal cyst type VI - cystic duct cyst - cholecystectomy

Note

No ethical approval was required for the case report.


Financial Disclosure

The authors have no financial disclosure.


 

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