Choledochal Cysts on 2 Years-Old Girl : A Case Report

Riris Juita Julianty; Yusri Dianne Jurnalis; Yorva Sayoeti

doi:10.35582/ijcpch.v1i2.21

Riris Juita Julianty Department of Child Health, Gastrohepatology Division, Dr. M Djamil Hospital, Faculty of Medicine, Andalas University, Indonesia
Yusri Dianne Jurnalis Department of Child Health, Gastrohepatology Division, Dr. M Djamil Hospital, Faculty of Medicine Andalas University, Indonesia
Yorva Sayoeti Department of Child Health, Gastrohepatology Division, Dr. M Djamil Hospital, Faculty of Medicine Andalas University, Indonesia

DOI: https://doi.org/10.35582/ijcpch.v1i2.21

Keywords: Choledochal cysts, children, cholesistojejunostomy jejunojejunostomy, cholecystectomy

Abstract

A choledochal cyst is a swelling / widening or dilatation of the bile ducts. Choledochal cysts are diagnosed in children and adults, although most (80%) develop in children younger than 10 years. Choledochal cysts are also 4 times more common in females than males, The exact cause of CCs is unknown, but described the reflux of pancreatic enzymes into the biliary tree through an anomalous pancreaticobiliary duct union (APBDU), thereby leading to biliary dilation. Although rare in the general population, APBDU has been reported in more than 80% of children with CCs.The classic symptoms in children are intermittent abdominal pain, jaundice, and the presence of a right upper quadrant abdominal mass. We present a case of2 year-old girl with choledochal cysts and pancreatitis as a complication. She undergobiliodigestive by pass cholesistojejunostomyjejunojejunostomy and cholecystectomy, got total parenteral nutrition for 2 days and treated with meropenem intravena. There was improvement inclinicalmanifestations after surgery.