Surgery Today

, Volume 38, Issue 11, pp 1056–1059 | Cite as

An adult choledochal cyst—the magnetic resonance cholangiopancreatography findings: Report of a case

  • Mehmet Haciyanli
  • Hudai Genc
  • Onder Colakoglu
  • Kadir Aksoz
  • Belkis Unsal
  • Engin Uluç
Case Report

Abstract

We herein report an unusual adult patient with a congenital choledochal cyst. A 28-year-old woman presented with recurrent episodes of abdominal pain in the right upper quadrant. Abdominal ultrasonography showed fusiform dilatation of the common bile duct without any obstruction. Endoscopic retrograde cholangiopancreatography (ERCP) and magnetic resonance cholangiopancreatography (MRCP) were performed to make a precise diagnosis. No abnormal pancreatobiliary junction was detected on ERCP. The MRCP images more clearly defined the type and extent of the choledochal cyst as observed at surgery. The cyst and gallbladder were excised and a Roux-en-Y hepaticojejunostomy was performed. We also reviewed the relevant English literature and concluded that MRCP offers diagnostic information that is equivalent or superior to that of ERCP for the evaluation of type I choledochal cysts in adults and because this modality is noninvasive, it should therefore be the preferred imaging technique for an examination of adult patients with choledochal cysts.

Key words

Adult Choledochal cyst Magnetic resonance cholangiopancreatography 

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Copyright information

© Springer 2008

Authors and Affiliations

  • Mehmet Haciyanli
    • 1
    • 4
  • Hudai Genc
    • 1
  • Onder Colakoglu
    • 2
  • Kadir Aksoz
    • 2
  • Belkis Unsal
    • 2
  • Engin Uluç
    • 3
  1. 1.Second Clinic of General SurgeryAtaturk Training and Research HospitalIzmirTurkey
  2. 2.Clinic of GastroenterologyAtaturk Training and Research HospitalIzmirTurkey
  3. 3.Clinic of RadiologyAtaturk Training and Research HospitalIzmirTurkey
  4. 4.IzmirTurkey

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