Abstract

LARA-RUIZ, Rodolfo Iván et al. Choledochal Cyst Todani Iva. Case Report and Literature Review. Rev. Fac. Med. (Méx.) [online]. 2021, vol.64, n.3, pp.37-42.  Epub Oct 04, 2021. ISSN 2448-4865.  https://doi.org/10.22201/fm.24484865e.2021.64.3.04.

Biliary tree dilations are unusual congenital malformations that may involve the entire bile circulation and they are common during the first life decade. Most cases initiate with jaundice and chronic abdominal pain which localizes in right upper quadrant. High clinical suspicion accompanied by imaging studies are essential for diagnosis. Treatment has evolved until today complete cyst resection has become the treatment of choice, since it presents a good response, although without being free from long-term complications. We present the case of a 27-year-old male patient with a history of 3 months onset epigastric abdominal pain diagnosed as Todani IVa common bile duct choledochal cyst by magnetic resonance imaging. Open surgical management was performed with total resection of the cyst and biliodigestive Roux-en-Y diversion without any complications. He was discharged 7 days post-op. A review of the literature focused on the surgical approach and management of similar cases was carried out.

Keywords : Bile duct dilation; choledochal cyst; Todani IVa; jaundice.