Overview
Where in the biliary system are choledochal cysts found?
What are the signs and symptoms of choledochal cysts in infants?
What are the signs and symptoms of choledochal cysts in older children and adults?
What is the classic presentation of choledochal cysts in adults?
Which lab tests are performed in the workup of choledochal cysts?
Which imaging studies are performed in the workup of choledochal cysts?
Which procedures may be performed as a supplement to imaging in the workup of choledochal cysts?
What are the surgical treatments for choledochal cysts?
What is included in supportive care for choledochal cysts?
What is the pathogenesis of choledochal cysts?
What are type I choledochal cysts?
What are type II choledochal cysts?
What are type III choledochal cysts?
What are type IVA choledochal cysts?
What are type V choledochal cysts?
What are choledochal cysts of the proximal cystic duct?
What is the prevalence of choledochal cysts?
What are the racial predilections of choledochal cysts?
What are the sexual predilections of choledochal cysts?
Which age groups have the highest prevalence of choledochal cysts?
What is the prognosis of choledochal cysts?
What is the morbidity associated with choledochal cysts?
What are the possible complications of choledochal cysts?
Presentation
Which physical findings are characteristic of choledochal cysts?
How does age affect the presentation of choledochal cysts?
Which clinical history findings are characteristic of choledochal cysts in infants?
Which clinical history findings are characteristic of choledochal cysts in children?
Which clinical history findings are characteristic of choledochal cysts in adults?
DDX
What are the differential diagnoses for Choledochal Cysts?
Workup
What is the role of lab tests in the workup of choledochal cysts?
What is the role of CBC count in the workup of choledochal cysts?
What is the role of liver function studies in the workup of choledochal cysts?
What is the role of a chemistry panel in the workup of choledochal cysts?
What is the role of ultrasonography in the workup of choledochal cysts?
What is the role of CT scanning and MRI in the workup of choledochal cysts?
What is the role of MRCP in the workup of choledochal cysts?
What is the role of scintigraphy in the workup of choledochal cysts?
What is the role of PCT and ERCP in the workup of choledochal cysts?
Which histologic findings are characteristic of choledochal cysts?
Treatment
How are choledochal cysts treated?
What is the role of medications in the treatment of choledochal cysts?
What is the role of surgery in the treatment of choledochal cysts?
How are type I choledochal cysts treated?
How are type II choledochal cysts treated?
How are type III choledochal cysts treated?
How are type IV choledochal cysts treated?
How are type V choledochal cysts treated?
What is the Lilly technique for the surgical treatment of choledochal cysts?
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Operative specimen of a type I choledochal cyst.
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Type I choledochal cyst.
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Type II choledochal cyst.
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Type III choledochal cyst (choledochocele).
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Type IV choledochal cyst (extrahepatic and intrahepatic disease).
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Type V choledochal cyst (intrahepatic, Caroli disease).
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Nuclear medicine scan of a choledochal cyst.
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Nuclear medicine scan of a choledochal cyst.
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Computed tomography (CT) scan of a choledochal cyst demonstrating intrahepatic extension involving the main left hepatic duct.
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Computed tomography (CT) scan of a choledochal cyst involving the common hepatic duct.
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Computed tomography (CT) scan demonstrating a large choledochal cyst and the adjacent gall bladder.
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Computed tomography (CT) scan of a large, saccular type I choledochal cyst.
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Diagnostic ultrasonogram demonstrating a type I choledochal cyst in a 4-month-old child presenting with hyperbilirubinemia and transaminase elevations.
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Intraoperative cholangiogram of a type I choledochal cyst.
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Intraoperative image of a Roux-en-Y hepaticojejunostomy to restore biliary-enteric continuity following resection of a choledochal cyst.