What is choledochat cyst?

A choledochal cyst is an uncommon inborn dilation of the hepatic or bile duct of the liver, the parcel which transports bile produced by the cells to the gallbladder and duodenum.

What are the different types of choledochal cyst?

There are five types of choledochal cysts. Type 1 Cysts is making upward about half of all choledochal cysts. This character is a cystic dilation of the extrahepatic bililary duct. Type 2 Cysts is an irregular pocket or sac opening from the duct. Type 3 involves a cyst that is located within the duodenal fence. 
Type 4 Cysts refers to cystic dilations of both the intrahepatic and extrahepatic biliary tracts.Type 5 includes only intra hepatic cystic dilation(Rare).

Who’s affected mostfrequently?

Choledochal cysts are more common  in females than males, with a female-to-male ratio in the scope of 3:1 to 4:1.

How does it presents?

Choledochal cysts do often submit during childhood but they are more usually diagnosed in maturity.
The classical symptoms of abdominal mass, pain and jaundice is seldom seen during childhood.
Some children may not indicate symptoms for years. In some patients, the cyst can be felt by the physician examining the stomach.

How to diagnose a choledochal cyst?

Diagnosis of the condition involves clinical and radiological aid. Usg is the most frequently used modality.CT scan of the Abdomen is very Sensitive and specific investigation. On blood test,patient may have hyperbilirubinemia.

What is the treatment of choledochal cyst?

Basic treatment for choledochal cyst is surgery.which involves resection of the bile duct completely and reconstruction with hepaticojejunostomy( continuity between bowel and bile duct).

Can the patient be treated medically only?

There’s nothing like medical management for this condition.However during the episode of cholangitis patient may be treated with antibiotics and supportive care.But in a long term patient definitely needs a surgery.

Why is surgery necessary for this condition?

Without surgery, there is a  danger of biliary interference and incidental cholangitis, jaundice, and cirrhosis.  Another long-term worry is for cancerous degeneration.

What is the outcome following surgery?

Prognosis is very good after surgery.It not only eliminated the risk of cancer but also future risk  of cholangitis and biliary complication is reduced. 

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