Acute cholestasis and type IVa choledoch cyst. A case report

Abstract

The choledochal cyst is classified inside cystic dilations of the biliary tract, infrequent group of congenital malformations that affects as much an intrahepatic as a extrahepatic biliary tract. It?s more commonly in Asian countries and in little girls. Our study purpose is to present a recent experience with a choledochal cyst case in a little girl of 23 months, who visits our service for symptoms of asthenia, anorexia and intermittent abdominal pain for two weeks, accompanied afterwards of jaundice, coluric urine and acholia. She?s linked an important analytic alteration of hepatic function and in the abdominal ultrasonography we could see an important dilation of intrahepatic and extrahepatic biliary tract, that it?s confirmed with the magnetic resonance cholangiography (MRC), what proved the presence of the choledochal cyst type IVa, according Todani?s classification. We perform the total extirpation of the cyst and Roux-en-Y hepaticojejunostomy. We below make an existing bibliography revision connected with this pathology.