Todani type IVa choledochal cyst

Soto-Solis, R.; Waller, L.A.

doi:10.1016/j.rgmxen.2019.03.001

Revista de Gastroenterología de México

ISSN: 2255-534X

The Revista de Gastroenterología de México (Mexican Journal of Gastroenterology) is the official publication of the Asociación Mexicana de Gastroenterología (Mexican Association of Gastroenterology). Its pages are open to the members of the Association, as well as to all members of the medical community interested in using this forum to publish their articles in accordance with the journal editorial policies. The principal aim of the journal is to publish original work in the broad field of Gastroenterology, as well as to provide information on the specialty and related areas that is up-to-date and relevant. The scientific works include the areas of Clinical, Endoscopic, Surgical, and Pediatric Gastroenterology, along with related disciplines. The journal accepts original articles, scientific letters, review articles, clinical guidelines, consensuses, editorials, letters to the Editors, brief communications, and clinical images in Gastroenterology in Spanish and English for their publication.

Indexed in:

Directory of Open Access Journals (DOAJ), Emerging Sources Citation Index (ESCI) in the Web of Science, Index Medicus Latinoamericano, Índice Mexicano de Revistas Biomédicas (IMBIOMED), Latindex, PubMed-MEDLINE, Scopus, Sistema de Clasificación de Revistas Mexicanas de Ciencia y Tecnología de CONACYT (CRMCyT)

A 39-year-old woman was referred to our hospital center for the diagnostic evaluation of asymptomatic cholestasis. Nuclear magnetic resonance cholangiography (fig. 1) and endoscopic retrograde cholangiopancreatography (ERCP) (figs. 2 and 3) were carried out. Both studies revealed marked cystic dilation of the extrahepatic and intrahepatic bile ducts and a normal intrapancreatic bile duct. The ERCP identified a common channel of the pancreatic duct and the common bile duct (fig. 2). The incidence of congenital choledochal cysts is 1/100,000 to 1/150,000, and the most widely accepted cause is an anomalous junction of the pancreatic duct and the common bile duct.

Figure 1.

NMR cholangiography showing cystic dilation of the intrahepatic bile ducts and the proximal extrahepatic bile ducts.

(0.05MB).

Figure 2.

ERCP showing the cystic dilation of the intrahepatic bile ducts and the proximal extrahepatic bile ducts. Note the common channel of the pancreatic duct and the common bile duct.

(0.09MB).

Figure 3.

ERCP showing the intrahepatic cystic dilation. Note the opening of the posterior right hepatic duct into the common bile duct.

(0.11MB).

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Please cite this article as: Soto-Solis R, Waller LA. Quiste de colédoco tipo IVa de Todani. Revista de Gastroenterología de México. 2019;84:400–401.

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