Aims and objectives
Choledochal cystsare congenital malformations,
described for the first time in 1723 by VATER,
characterized by a cystic dilatation ,without obstruction,
of the biliary tracts.
This disease includes several types,
depending on the localization,
the shape and distribution of the cyst.
This pathology manifests itself mainly during childhood and often revealed by a complication.
The diagnosis is essentially based on ultrasound and Magnetic Resonance Cholangiopancreatography.
By reporting a series of 19 children,
the aim of this work is to show the contribution of imaging in the...
Methods and materials
We conducted a retrospective descriptive study of 19 case reports carried out between 2011 and 2017 in the Pediatric radiology and Child Surgery departments at the mother and child hospital at the University Hospital MOHAMED VI.
The average age of our patients was 5 years,
mostly female (n = 12).
Abdominal pain was the most common clinical sign.
All patients were scanned by ultrasound,
11 cases underwent abdominal CT with contrast agent injection,
while a Magnetic Resonance Cholangiopancreatography (MRCP) was performed in 7patients.
Ultrasound is the first-line examination with a specificity that varies between 71% and 97% .
The choledocal cyst appears as a cystic formation well- defined thin-walled (fig.1,
3) sometimes containing an echogenic material corresponding to...
including initially ultrasound,
and sectional imaging play a vital role in the diagnosis of choledochal cysts.
The MRCP is the examination of choice that allows accurate biliary mapping,
thus avoiding the use of invasive opacifications.
Management dilemmas with choledochal cysts.Arch Surg.
Choledochal cysts: Ultrasonographic findings and correlation with other imaging modalities.
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Chang-Ting Huang ,
Hung-Chang Lee ,
Wai-Tao Chen. Usefulness of Magnetic Resonance Cholangiopancreatography in Pancreatobiliary Abnormalities in Pediatric Patients.Pediatrics and Neonatology (2011) 52,
M Takahashi and Y Sera.
Single-shot MR cholangiopancreatography of neonates,
and young children.