Giant Choledochal Cysts in a 2 Year Old Child
Aida D*, Rabia Ben A, Malak B, Habib B, Youssef H, Youssef G and Nejib K
Department of Pediatric Surgery, Hopital Habib Thameur, Ali ebn Ayed montfleury, Tunisia
- *Corresponding Author:
- Aida D
Department of Pediatric surgery
Hopital Habib Thameur
Ali ebn Ayed montfleury, Tunisia
E-mail: [email protected]
Received Date: October 23, 2016; Accepted Date: November 16, 2016; Published Date: November 23, 2016
Citation: Aida D, Rabia Ben A, Malak B, Habib B, Youssef H, et al. (2016) Giant Choledochal Cysts in a 2 Year Old Child. Neonat Pediatr Med 2: 116. doi: 10.4172/2572-4983.1000116
Copyright: © 2016 Aida D, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
The cystic dilatation of the common bile duct is a rare pathology. It is the second surgical case of cholestasis icterus in infants after biliary duct atresia. It still poses problems of differential diagnosis and treatment. A girl aged 2 years has been admitted in our department for exploration of an abdominal distension. The physical examination has shown the presence of a large mass at the level of the hypochondria and the right flank arriving to the umbilicus associated with a discrete icterus without other signs. Laboratory tests have been without anomalies except a hyperbiluribinémie. Abdominal ultrasound revealed a hepatic cyst measuring 11.6 in the segment 4 and 5 of the liver. A computerized tomography concluded to a large hepatic cyst with an important part under the liver arriving to the pelvis. Magnetic resonance cholangio-pancreatography confirmed the diagnosis of a large cystic dilatation of the common bile duct type 4 of Todani. At laparotomy, a giant cystic dilatation of the common bile duct going from the liver extending into the right abdominal part. She had had a total excision of the cystic dilatation of the common bile duct, carrying away the cystic duct and the gallbladder, with a bilio-digestive bypass installing a jejunal loop in Y.