Spontaneous rupture of a type IVA choledochal cyst in a young adult during radiological imaging

A case of a 24-year-old male with jaundice and epigastric pain is reported. The patient underwent a thorough clinical, laboratory, and imaging investigation. Computerized tomography revealed a 9 cm×10 cm choledochal cyst. Magnetic resonance imaging and magnetic cholangiopancreatography were performe...

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Bibliographic Details
Published in:World journal of gastroenterology : WJG 2006-02, Vol.12 (6), p.982-986
Main Authors: Stipsanelli, Ekaterini, Valsamaki, Pipitsa, Tsiouris, Spyridon, Arka, Angelika, Papathanasiou, Georgios, Ptohis, Nikolaos, Lahanis, Stephanos, Papantoniou, Vassilios, Zerva, Cherry
Format: Article
Language:English
Subjects:
Adult
Case Report
Choledochal Cyst - diagnostic imaging
Humans
Male
Rupture, Spontaneous - diagnostic imaging
Rupture, Spontaneous - etiology
Tomography, X-Ray Computed - adverse effects
影像检查法
放射检查
胞囊疾病
闪烁扫描法
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Summary:A case of a 24-year-old male with jaundice and epigastric pain is reported. The patient underwent a thorough clinical, laboratory, and imaging investigation. Computerized tomography revealed a 9 cm×10 cm choledochal cyst. Magnetic resonance imaging and magnetic cholangiopancreatography were performed, during which he developed an ＂acute abdomen＂ with radiological evidence of bUiary peritoneal leak. Urgent surgery revealed rupture of the distended malformed common bile duct. A peritoneal drain was instilled and a more definitive surgical procedure was accordingly scheduled. Hepatobiliary scintigraphy following surgery verified these findings, as well as confirmed the adequacy of the urgent surgery. A combination of radiological and nuclear medicine techniques substantially contributes to the diagnosis of choledochal cyst rupture and the adequacy of surgical intervention.
ISSN:1007-9327
2219-2840
DOI:10.3748/wjg.v12.i6.982