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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2015; 25(03): 315-320
DOI: 10.4103/0971-3026.161468
Abdominal Radiology

Choledochal cyst of the cystic duct: Report of imaging findings in three cases and review of literature

Sonali Sethi
Department of Radiology, Govind Ballabh Pant Hospital, New Delhi, India
,
Lalendra Upreti
Department of Radiology, Govind Ballabh Pant Hospital, New Delhi, India
,
Amit K Verma
Department of Radiology, Govind Ballabh Pant Hospital, New Delhi, India
,
Sunil K Puri
Department of Radiology, Govind Ballabh Pant Hospital, New Delhi, India
› Author Affiliations Financial support and sponsorship Nil.
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Abstract

The choledochal cysts, which refer to the cystic dilatation of the biliary duct, are rare lesions generally seen in children. Choledochal cyst of the cystic duct is an uncommon entity. Often, it is associated with the choledochal cyst of the rest of the biliary tree. Isolated cystic duct choledochal cyst is quite rare. Most of these lesions have been recognized only on surgery. Modern cross-sectional imaging methods have facilitated preoperative recognition and characterization of cystic duct cyst enabling formulation of appropriate management strategy. We report the imaging findings in three cases of choledochal cyst involving the cystic duct. All these cases were correctly diagnosed preoperatively. A review of cases reported in the literature and the role of imaging in guiding the management are also presented.

Keywords

Choledochal cyst - computed tomography - cystic duct cyst - magnetic resonance cholangiopancreatography


Publication History

Article published online:
30 July 2021

© 2015. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Serena Serradel AF, Santamaría Linares E, Herrera Goepfert R. Cystic dilatation of the cystic duct: A new type of biliary cyst. Surgery 1991;109:320-2.
  • 2 Baj M, Sengupta S, O′Donnell LJ. Choledochocele of the cystic duct: A case report. Internet J Gastroenterol 2002;1:1.
  • 3 Geraci G, Nigro CL, Sciuto A, Arnone E, Modica G, Sciumè C. Surgical treatment of choledochal cyst associated with an aberrant posterior hepatic duct: Report of a case and brief literature review. Case Rep Gastroenterol 2011;5:73-81.
  • 4 Singham J, Yoshida EM, Scudamore CH. Choledochal cysts: Part 1 of 3: Classification and pathogenesis. Can J Surg 2009;52:434-40.
  • 5 Alonso-Le JF, Rever WB Jr, Pessagno DJ. Congenital choledochal cyst, with a report of 2, and an analysis of 94, cases. Int Abstr Surg 1959;108:1-30.
  • 6 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.
  • 7 Bode WE, Aust JB. Isolated cystic dilatation of the cystic duct. Am J Surg 1983;145:828-9.
  • 8 Champetier P, Partensky C, Ponchon T. Cystic malformations of the cystic duct. Surg Radiol Anat 1987:9:287-91.
  • 9 Loke TK, Lam SH, Chan CS. Choledochal cyst: An unusual type of cystic dilatation of the cystic duct. AJR Am J Roentgenol 1999;173:619-20.
  • 10 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.
  • 11 Weiler H, Grandel A, Frühmorgen P. Congenital cystic dilatation of the cystic duct associated with an anomalous pancreaticobiliary ductal junction. Ultraschall Med 2003;24:197-201.
  • 12 Yoon JH. Magnetic resonance cholangiopancreatography diagnosis of choledochal cyst involving the cystic duct: Report of three cases. Br J Radiol 2011;84:e18-22.
  • 13 Chan ES, Auyang ED, Hungness ES. Laparoscopic management of a cystic duct cyst. JSLS 2009;13:436-40.
  • 14 Manickam S, Ramadan K, Adams BK. A rare choledochal cyst of the cystic duct with an anomalous pancreaticobiliary union in an adult patient. Clin Rad Extra 2004;59:68-71.
  • 15 Conway WC, Telian SH, Wasif N, Gagandeep S. Type VI biliary cyst: Report of a case. Surg Today 2009;39:77-9.
  • 16 Ghatak S. Type IV A choledochal cyst with cystic duct cyst. HPB (Oxford) 2010;12:285.
  • 17 Khanna M, Buddhavarapu SR, Heena H, Amir E. EJR 2010;75:e63-7.
  • 18 De U, Das S, Sarkar S. Type VI choledochal cyst revisited. Singapore Med J 2011;52:e91-3.
  • 19 Maheshwari P. Cystic malformation of the cystic duct: 10 cases and review of literature. World J Radiol 2012 28;4:413-7.
  • 20 Shah OJ, Shera A, Shah P, Rabbani I. Cystic dilatation of the cystic duct: A Type 6 biliary cyst. Indian J Surg 2013;75(Suppl 1);500-2.
  • 21 Mishra PK, Ramaswamy D, Saluja SS, Patil N, Chandrashekhar S. Unusual variants of choledochal cyst: How to classify. Am Surg 2013;79:E162-4
  • 22 Kesici U, Kesici S, Tüten A. Cystic duct cyst: Report of one case. Turk J Gastroenterol 2013;24:170-2.
  • 23 Komi N, Tamura T, Miyoshi Y, Kunitomo K, Udaka H, Takehara H. Nation wide survey of cases of choledochal cyst. Analysis of coexistant anomalies, complications and surgical treatment in 645 cases. Surg Gastroenterol 1984;3:69-73.
  • 24 Misra SP, Dwivedi M. Pancreaticobiliary ductal union. Gut 1990;31:1144-9.
  • 25 Singham J, Schaeffer D, Yoshida E, Scudamore C. Choledochal cyst: Analysis of disease pattern and optimal treatment in adult and paediatric patients. HPB (Oxford) 2007;9:383-7.
  • 26 O′Neill JA Jr. Choledochal cyst. Curr Probl Surg 1992;29:361-410.
  • 27 Turner MA, Fulcher AS. The cystic duct: Normal anatomy and disease processes. Radiographics 2001;21:3-22, questionnaire 288-94.