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Case Report Open Access
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.
Cystic dilatation of the bile duct, Child, Congenital, Birth Complications, Breastfeeding, Bronchopulmonary Dysplasia, Feeding Disorders, Gestational diabetes, Neonatal Anemia, Neonatal Breastfeeding, Neonatal Care, Neonatal Disease, Neonatal Drugs, Neonatal Health, Neonatal Infections, Neonatal Intensive Care, Neonatal Seizure, Neonatal Sepsis, Newborn Jaundice, Newborns Screening, Premature Infants, Sepsis in Neonatal, Vaccines and Immunity for Newborns