Ann Surg Treat Res.  2016 Jun;90(6):350-352. 10.4174/astr.2016.90.6.350.

Isolated cystic duct cyst with associated stones in a 4-month-old boy

• Youn JK
• Kim H
• Kim HY
• Jung SE

• KMID: 2164797
• DOI: http://doi.org/10.4174/astr.2016.90.6.350

Abstract

Isolated cystic duct cysts are rare entities, with few cases having been reported. We present the case of a 4-month-old male patient presenting with abdominal pain and vomiting. Ultrasonography and magnetic resonance cholangiopancreatography revealed an isolated cystic duct cyst with associated stones. The patient underwent open cholecystectomy with complete cyst excision and cystic duct transection; there were no postoperative complications. While lesions like the one described herein are extremely rare, they should be included as a separate category in classifications of choledochal cysts.

Keyword

Cystic duct; Choledochal cyst; Gallstones

MeSH Terms

Abdominal Pain
Cholangiopancreatography, Magnetic Resonance
Cholecystectomy
Choledochal Cyst
Classification
Cystic Duct*
Gallstones
Humans
Infant*
Male*
Postoperative Complications
Ultrasonography
Vomiting

Figure

• 

  Fig. 1 Abdominal ultrasonogram showing gallbladder wall thickening with hyperechoic material inside.

• 

  Fig. 2 Magnetic resonance cholangiopancreatogram showing fusiform dilatation of the cystic duct with internal sludge and stones.

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  Fig. 3 (A) Laparoscopic image of the cystic duct cyst. (B) Diagram of the cystic duct cyst. GB, gallbladder.

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