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Tsai PH, Yen YC, Chou YH, Lin CH, Bai YL, Kao SC, Lin YM, Wang YL, Chou YC, Lee PTY, Tiu CM. Type I Choledochal Cyst Complicated With Acute Hemorrhagic Pancreatitis: A Case Report. J Med Ultrasound 2018; 25:235-239. [PMID: 30065499 PMCID: PMC6029336 DOI: 10.1016/j.jmu.2017.09.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2016] [Accepted: 09/14/2017] [Indexed: 01/19/2023] Open
Abstract
Choledochal cysts rarely present with acute pancreatitis. We report a patient with type I choledochal cyst(s) who had concomitant acute frank hemorrhagic pancreatitis. A 14-year-old male noted with a history of recurrent abdominal pain, fever and jaundice. Ultrasonography (US) of abdomen at the Emergency Department depicted distended gall bladder with wall thickening. Apparently dilated intrahepatic ducts (IHDs) and fusiform dilatation of the common bile duct (CBD), and mild dilatation of the pancreatic duct were also noted, suggesting a type I choledochal cyst( ). Computed tomography (CT) demonstrated calcifications in the uncinate process of the pancreas in addition to the similar findings on US. He subsequently underwent choledochal cyst excision with a Roux-en-Y hepaticojejunostomy. After surgical treatment, he has been doing well for 3 years.
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Affiliation(s)
- Ping-Hua Tsai
- Department of Internal Medicine, Chang Bing Show Chwan Memorial Hospital, Changhua, Taiwan
| | - Yueh-Chin Yen
- Department of Internal Medicine, Chang Bing Show Chwan Memorial Hospital, Changhua, Taiwan
| | - Yi-Hong Chou
- Department of Radiology, Taipei Veterans General Hospital, School of Medicine, National Yang Ming University, Taipei, Taiwa
- Yuanpei University of Medical Technology, Hsinchu, Taiwan
- Yee Zen Hospital, Taoyuan, Taiwan
- Correspondence to: Yi-Hong Chou, Department of Radiology, Taipei Veterans General Hospital, 201, Section 2, Shih-Pai Rd, Taipei, 112, Taiwan. Fax: +886 2 28710848. E-mail address: (Y.-H. Chou)
| | - Chien-Hua Lin
- Department of Surgery, Chang Bing Show Chwan Memorial Hospital, Changhua, Taiwan
| | - Yu-Lin Bai
- Department of Internal Medicine, Chang Bing Show Chwan Memorial Hospital, Changhua, Taiwan
| | - Shu-Chuan Kao
- Department of Internal Medicine, Chang Bing Show Chwan Memorial Hospital, Changhua, Taiwan
| | - Yu-Meu Lin
- Department of Internal Medicine, Chang Bing Show Chwan Memorial Hospital, Changhua, Taiwan
| | - Yu-Ling Wang
- Department of Internal Medicine, Chang Bing Show Chwan Memorial Hospital, Changhua, Taiwan
| | - Ya-Chun Chou
- Department of Internal Medicine, Chang Bing Show Chwan Memorial Hospital, Changhua, Taiwan
| | | | - Chui-Mei Tiu
- Department of Radiology, Taipei Veterans General Hospital, School of Medicine, National Yang Ming University, Taipei, Taiwa
- Yee Zen Hospital, Taoyuan, Taiwan
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Gupta A, Kaman L. Bile Duct Adenocarcinoma with Acute on Chronic Pancreatitis: A Rare Complication of Long Standing Choledochal Cyst. J Clin Diagn Res 2017; 11:PJ01-PJ02. [PMID: 28764249 DOI: 10.7860/jcdr/2017/27049.10004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2017] [Accepted: 03/28/2017] [Indexed: 11/24/2022]
Affiliation(s)
- Ashish Gupta
- Senior Medical Officer, Department of Hospital Administration, PGIMER, Chandigarh, India
| | - Lileswar Kaman
- Professor, Department of General Surgery, PGIMER, Chandigarh, India
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