choledocal cyst Flashcards

(9 cards)

1
Q

What is a choledochal cyst?

A

Congenital dilatation of any part of the biliary tract, commonly the CBD

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2
Q

What is the most common cause of choledochal cysts?

A

Anomalous pancreaticobiliary junction (APBJ)

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3
Q

What is the classic triad of choledochal cysts?

A

Abdominal pain, jaundice, and palpable mass

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4
Q

What age group commonly presents with CCs?

A

Infants <12 months with jaundice, acholic stools, vomiting

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5
Q

What is the initial imaging modality for CC?

A

Ultrasound

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6
Q

Which imaging has highest accuracy for choledochal cysts?

A

MRCP

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7
Q

What imaging differentiates CC from BA in neonates?

A

Technetium-99 HIDA scan

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8
Q

What is the definitive treatment of CC?

A

Surgical excision with bilioenteric anastomosis (Roux-en-Y hepaticojejunostomy)

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9
Q

What are common complications of CC?

A

Malignancy, stricture, ascending cholangitis, stone formation

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