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Case Studies | Surgery | India | Volume 12 Issue 2, February 2023
A Case of Adult Choledochal Cyst with Unusual Symptom
Dr. B. Shree Venkatesan | Dr. K. Anandan MS | Dr. P. Thangamani MS | Dr. P. S. Shanthi MS
Abstract: Choledochal cyst is a rare but significant disease affecting Asian population with inherent malignant potential. It has been a major burden to our society. A choledochal cyst is defined as a congenital or acquired anomaly affecting the biliary tree. It involves the dilation of extrahepatic and/or the intrahepatic segments of biliary tree. Early diagnosis and management are critical. A clear regional variation exists for choledochal cysts, where two-thirds of the reported cases in Asia occur in Japan. type I and IV occur more commonly in females and have a female to male ratio of 4:1 or 3:1 The reason for the Asian and female predominance remains unknown. The presentation and therapeutic strategies for choledochal cysts in adult may differ from that of childhood. The surgical management of choledochal cysts in adults is complicated by associated hepatobiliarypathology. Clinical diagnosis including classical trial of abdomen pain, jaundice, righthy pochondrant mass seen only 0-17% of population and mostly in children, majority of cases present with very vague clinical presentation and 40% enter adulthood unnoticed. This case highlights the unique presentation of choledochal cyst in 47 year old female with postprandial dizziness and epigastric pain.
Keywords: Adult choledochal cyst, post prandial giddiness, stasis, hypovolemia
Edition: Volume 12 Issue 2, February 2023,
Pages: 8 - 13
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