Type VI B choledochal cyst: a rare entity

Authors

  • Sampada V. Joshi Department of General Surgery, Grant Government Medical College and Sir J.J. Group of Hospitals, Mumbai, Maharashtra, India http://orcid.org/0000-0002-1423-5260
  • Girish D. Bakhshi Department of General Surgery, Grant Government Medical College and Sir J.J. Group of Hospitals, Mumbai, Maharashtra, India
  • Chandrakant Sable Department of General Surgery, Grant Government Medical College and Sir J.J. Group of Hospitals, Mumbai, Maharashtra, India
  • Aishwarya S. Dutt Department of General Surgery, Grant Government Medical College and Sir J.J. Group of Hospitals, Mumbai, Maharashtra, India
  • Sushrut S. Baligar Department of General Surgery, Grant Government Medical College and Sir J.J. Group of Hospitals, Mumbai, Maharashtra, India
  • Madhu Kumari Jha Department of General Surgery, Grant Government Medical College and Sir J.J. Group of Hospitals, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2349-2902.isj20222247

Keywords:

Choledochal cysts, Type 6 choledochal cysts, Congenital biliary anomalies

Abstract

Choledochal cysts (CDC) are congenital dilatations of extra hepatic biliary system with or without involving intrahepatic bile ducts. Traditionally classified into five types with emerging type VI, involving dilatation of cystic duct, which is the rarest. It is seen in middle-aged females. Most are symptomatic with common symptom being abdominal pain. Magnetic resonance cholangiopancreatography (MRCP) is diagnostic. Surgical treatments range from cholecystectomy to Roux en Y hepaticojejunostomy. They are at a risk of malignant transformation. Hence should be looked for when encountered with congenital biliary system anomalies. We presented a case of a young male with type VI B CDC and its management. A brief case report with review of literature is presented.

Author Biographies

Sampada V. Joshi, Department of General Surgery, Grant Government Medical College and Sir J.J. Group of Hospitals, Mumbai, Maharashtra, India

Resident at General Surgery, Grant Medical College and Sir J.J. Group of Hospitals, Mumbai, Maharashtra, India 400008

Girish D. Bakhshi, Department of General Surgery, Grant Government Medical College and Sir J.J. Group of Hospitals, Mumbai, Maharashtra, India

Professor and head of the unit at Grant Medical College and Sir J.J. Group of Hospitals, Mumbai, Maharashtra, India

Chandrakant Sable, Department of General Surgery, Grant Government Medical College and Sir J.J. Group of Hospitals, Mumbai, Maharashtra, India

Assistant Professor, Department of General Surgery, Grant Medical College and Sir J.J. Group of Hospitals, Mumbai, Maharashtra, India

Aishwarya S. Dutt, Department of General Surgery, Grant Government Medical College and Sir J.J. Group of Hospitals, Mumbai, Maharashtra, India

Resident at Department of General Surgery, Grant Medical College and Sir J.J. Group of Hospitals, Mumbai, Maharashtra, India

Sushrut S. Baligar, Department of General Surgery, Grant Government Medical College and Sir J.J. Group of Hospitals, Mumbai, Maharashtra, India

Resident at Department of General Surgery, Grant Medical College and Sir J.J. Group of Hospitals, Mumbai, Maharashtra, India

Madhu Kumari Jha, Department of General Surgery, Grant Government Medical College and Sir J.J. Group of Hospitals, Mumbai, Maharashtra, India

Resident at Department of General Surgery, Grant Medical College and Sir J.J. Group of Hospitals, Mumbai, Maharashtra, India

References

Michaelides M, Dimarelos V, Kostantinou D, Bintoudi A, Tzikos F, Kyriakou V, Rodokalakis G, Tsitouridis I. A new variant of Todani type I choledochal cyst. Imaging evaluation. Hippokratia. 2011;15:174-7.

Sugumaran K, Nag HH. A New Variant of Choledochal Cyst-Type 6B. Cureus. 2021;8;13(7).

Bhoil R, Sood S, Sood RG, Singla G, Bakshi S. A variant of type VI choledochal cyst: combined dilatation of cystic duct and common bile duct. J Ultrasound. 2016;19:71.

Todani T, Watanabe Y, Narusue M, Tabuchi K, Okajima K. Congenital bile duct cysts: classification, operative procedures, and review of thirty-seven cases including cancer arising from choledochal cyst. Am J Surg. 1977;134:263-9.

Alonso-Lej F, Rever WB Jr, Pessango DJ. Congenital choledochal cyst, with a report of 2, and an analysis of 94, cases. Int Abstr Surg. 1959;108:1-30.

Bode WE, Aust JB. Isolated cystic dilatation of the cystic duct. Am J Surg. 1983;145:828-9.

Serena Serradel AF, Santamaría Linares E, Herrera Goepfert R. Cystic dilatation of the cystic duct: a new type of biliary cyst. Surgery. 1991;109(3):320-2.

Yoon JH. Magnetic resonance cholangiopancreatography diagnosis of choledochal cyst involving the cystic duct: report of three cases. Br J Radiol. 2011;84:e18-22

Bresciani C, Gama-Rodrigues J, Santos VR. Video-laparoscopic treatment of a sizeable cyst of the cystic duct: a case report. Surg Laparosc Endosc. 1998;8:376-9.

De U, Das S, Sarkar S. Type VI choledochal cyst revisited. Singapore Med J. 2011;52:91-3.

Singham J, Yoshida EM, Scudamore CH. Choledochal cysts: part 1of 3: classification and pathogenesis. Can J Surg. 2009;52:434-40.

Conway WC, Telian SH, Wasif N, Gagandeep S. Type VI biliary cyst:report of a case. Surg Today. 2009;39:77-9.

Çamlıdağ İ, Nural MS, Danacı M, Karabıçak İ, Karabulut K. Cholangiocarcinoma Arising from a Type VI Biliary Cyst: A Case Report and Review of the Literature. Case Rep Radiol. 2015;625715.

Amarjothi JM, Ramasamy V, Jesudasan J, Naganath Babu OL. Type VI Choledochal Cysts—Case Report and Review of Literature. Surg J. 2019;5:e82-6.

Singham J, Yoshida EM, Scudamore CH. Choledochal cysts: part 2 of 3: Diagnosis. Can J Surg. 2009;52:506-11.

Maheshwari P. Cystic malformation of cystic duct: 10 cases and review of literature. World J Radiol. 2012;4:413.

Loke TK, Lam SH, Chan CS. Choledochal cyst: an unusual type of cystic dilatation of the cystic duct. Am J Roentgenol. 1999;173:619-20.

Singham J, Yoshida EM, Scudamore CH. Choledochal cysts. Part 3 of 3: management. Can J Surg. 2010;53:51-6.

Downloads

Published

2022-08-26

Issue

Section

Case Reports