Journal of Society of Surgeons of Nepal (Dec 2019)

Diagnostic dilemma in a large choledochal cyst

  • Tul Maya Gurung,
  • Rabin Koirala,
  • Amit Shrestha

DOI
https://doi.org/10.3126/jssn.v22i2.28744
Journal volume & issue
Vol. 22, no. 2

Abstract

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Choledochal cysts are rare congenital anomalies that have a variable presentation with occasional diagnostic and therapeutic dilemmas. Our case is a 14-year female presented with recurrent abdomen pain with confusing diagnostic findings, suggestive of a large choledochal cyst (22x29x17cm) initially managed by percutaneous tube biliary drainage and later underwent excision and HPE revealing non-malignant findings. The choledochal cyst should always be a differential diagnosis for any patient presenting with an abdominal mass and should be managed accordingly.

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