Remnant intrapancreatic choledochal cyst with symptomatic cystolithiasis
DOI:
https://doi.org/10.18203/2349-2902.isj20195137Keywords:
Remnant choledochal cyst, Intrapancreatic choledochal cyst, Protein plugs, CystolithiasisAbstract
A young female who had undergone choledochal cyst excision as a child presented with retained stone in the remnant intrapancreatic choledochal cyst which caused acute pancreatitis. This case is being reported to emphasise the importance of excising the choledochal cyst through the entire dilated part and to report the possibility of patients having symptoms due to protein plugs or retained stone in the intrapancreatic remnant.
References
Kaneko K, Ando H, Ito T. Protein plugs cause symptoms in patients with choledochal cysts. Am J Gastroenterol. 1997;92:1018-21.
Chiba K, Kamisawa T, Egawa N. Relapsing acute pancreatitis caused by protein plugs in a remnant choledochal cyst. J Hepatobiliary Pancreat Sci. 2010;17:729-30.
Kim E, Kang MH, Lee J, Choi H, Choi JW, Han JH, Park SM. Two Cases of Plug or Stone in Remnant Intrapancreatic Choledochal Cysts Treated with Endoscopic Retrograde. Cholangiopancreatograph. 2017;50(5):504-7.
Jordan PH, Goss JA, Rosenberg WR, Woods KL. Some considerations for management of choledochal cysts. Am J Surg. 2004;187:790-5.
Hsu RK, Yu A, Lee JG, Leung JW. Pancreatitis caused by common bile duct stones in a 3-year-old boy with prior surgery for a choledochal cyst. Am J Gastroenterol. 2001;96:1919-21.
Bismuth H, Krissat J. Choledochal cystic malignancies. Ann Oncol. 1999;10(4):94–8.
Risk of subsequent biliary malignancy in patients undergoing cyst excision for congenital. J Gastroenterol Hepatol. 2013;28(2):243–7.