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Pediatric Surgery International

, Volume 18, Issue 4, pp 281–283 | Cite as

Choledochal cyst and duodenal atresia: a rare combination

  • Tsutomu Sugimoto
  • Iwao Yamagiwa
  • Kazuya Obata
  • Takayuki Ouchi
  • Reiko Takahashi
  • Ritsuko Suzuki
  • Yasuhisa Shimazaki
CASE REPORT

Abstract

 A rare case of congenital duodenal atresia (DA) associated with a choledochal cyst (CC) is reported.At 38 weeks of gestation, a 1,610-g girl was born by cesarean section with a prenatal diagnosis of DA. After the disorder was confirmed by X-ray, she underwent a duodenoduodenostomy for a complete separation of the duodenum with an annular pancreas. Thirty-two months after the initial operation, she developed upper abdominal pain and acholic stools. Abdominal ultrasonography demonstrated a CC and dilatated intrahepatic bile ducts. Magnetic resonance cholangiopancreatography showed an anomalous arrangement of the choledochus and main pancreatic duct. A diffusely dilatated extrahepatic bile duct was resected, and a hepaticoduodenostomy was performed after cholecystectomy. The patient was discharged without complications. We could not find a similar case report in the English literature. Although it is not reported that there is a close relationship in embryologic development of DA and CC, one should be aware of the possibility of this combination.

Keywords Duodenal atresia Choledochal cyst Magnetic resonance cholangiopancreatography 

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Copyright information

© Springer-Verlag Berlin Heidelberg 2002

Authors and Affiliations

  • Tsutomu Sugimoto
    • 1
  • Iwao Yamagiwa
    • 1
  • Kazuya Obata
    • 1
  • Takayuki Ouchi
    • 1
  • Reiko Takahashi
    • 1
  • Ritsuko Suzuki
    • 1
  • Yasuhisa Shimazaki
    • 1
  1. 1.Second Department of Surgery, Yamagata University School of Medicine, Iida-Nishi, Yamagata, 990-9585, JapanJP

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