Choledochal cysts (CCs) are congenital dilatations of extrahepatic and/or intrahepatic bile ducts. It is a rare biliary entity, in the Asian population, the incidence can be as high as 1:1000 live. We reported case of One-month old baby girl with yellowish skin and acholic stool the baby has been suspected with anechoic abdominal mass at 17 weeks of gestational age using fetal ultrasound. From physical examination, jaundice was seen on the sclera and all over the body. The bowel sound was normal, without distention, without palpable liver nor spleen. The mass was not palpable either. Aspartate transaminase serum (AST), alanine aminotransferase serum (ALT), gamma glutamyl tranferase (GGT), bilirubin level was increased. Ultrasound was performed and revealed extrahepatic dilation to form a saccus in the proximal CBD, according to the picture of type 1 choledocal cyst. The surgeon performed cyst excision and hepatoduodenostomy procedure and found choledochal cyst. Histopathologic examination from cyst confirmed the choledochal cyst. The patient was discharged in good condition. We conclude that Type I choledochal cysts can be identified prenatally during a detailed fetal sonogram. The newborn should be investigated to confirm the diagnosis and undergo cyst excision promptly to reduce the potential for complications.
| Published in | American Journal of Pediatrics (Volume 7, Issue 2) |
| DOI | 10.11648/j.ajp.20210702.12 |
| Page(s) | 49-52 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2021. Published by Science Publishing Group |
Choledochal Cyst, Prenatal Diagnosis, Treatment, Surgery
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APA Style
Ida Ayu Agung Wijayanti, Ni Nyoman Metriani Nesa, I Gusti Ngurah Sanjaya Putra, I Putu Gede Karyana, Kadek Deddy Ariyanta, et al. (2021). Prenatal Diagnosis of Type 1c Choledochal Cysts in 1 Month Old Baby. American Journal of Pediatrics, 7(2), 49-52. https://doi.org/10.11648/j.ajp.20210702.12
ACS Style
Ida Ayu Agung Wijayanti; Ni Nyoman Metriani Nesa; I Gusti Ngurah Sanjaya Putra; I Putu Gede Karyana; Kadek Deddy Ariyanta, et al. Prenatal Diagnosis of Type 1c Choledochal Cysts in 1 Month Old Baby. Am. J. Pediatr. 2021, 7(2), 49-52. doi: 10.11648/j.ajp.20210702.12
AMA Style
Ida Ayu Agung Wijayanti, Ni Nyoman Metriani Nesa, I Gusti Ngurah Sanjaya Putra, I Putu Gede Karyana, Kadek Deddy Ariyanta, et al. Prenatal Diagnosis of Type 1c Choledochal Cysts in 1 Month Old Baby. Am J Pediatr. 2021;7(2):49-52. doi: 10.11648/j.ajp.20210702.12
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Download@article{10.11648/j.ajp.20210702.12,
author = {Ida Ayu Agung Wijayanti and Ni Nyoman Metriani Nesa and I Gusti Ngurah Sanjaya Putra and I Putu Gede Karyana and Kadek Deddy Ariyanta and I Made Dharmajaya and Ni Made Mahastuti},
title = {Prenatal Diagnosis of Type 1c Choledochal Cysts in 1 Month Old Baby},
journal = {American Journal of Pediatrics},
volume = {7},
number = {2},
pages = {49-52},
doi = {10.11648/j.ajp.20210702.12},
url = {https://doi.org/10.11648/j.ajp.20210702.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajp.20210702.12},
abstract = {Choledochal cysts (CCs) are congenital dilatations of extrahepatic and/or intrahepatic bile ducts. It is a rare biliary entity, in the Asian population, the incidence can be as high as 1:1000 live. We reported case of One-month old baby girl with yellowish skin and acholic stool the baby has been suspected with anechoic abdominal mass at 17 weeks of gestational age using fetal ultrasound. From physical examination, jaundice was seen on the sclera and all over the body. The bowel sound was normal, without distention, without palpable liver nor spleen. The mass was not palpable either. Aspartate transaminase serum (AST), alanine aminotransferase serum (ALT), gamma glutamyl tranferase (GGT), bilirubin level was increased. Ultrasound was performed and revealed extrahepatic dilation to form a saccus in the proximal CBD, according to the picture of type 1 choledocal cyst. The surgeon performed cyst excision and hepatoduodenostomy procedure and found choledochal cyst. Histopathologic examination from cyst confirmed the choledochal cyst. The patient was discharged in good condition. We conclude that Type I choledochal cysts can be identified prenatally during a detailed fetal sonogram. The newborn should be investigated to confirm the diagnosis and undergo cyst excision promptly to reduce the potential for complications.},
year = {2021}
}
TY - JOUR T1 - Prenatal Diagnosis of Type 1c Choledochal Cysts in 1 Month Old Baby AU - Ida Ayu Agung Wijayanti AU - Ni Nyoman Metriani Nesa AU - I Gusti Ngurah Sanjaya Putra AU - I Putu Gede Karyana AU - Kadek Deddy Ariyanta AU - I Made Dharmajaya AU - Ni Made Mahastuti Y1 - 2021/04/13 PY - 2021 N1 - https://doi.org/10.11648/j.ajp.20210702.12 DO - 10.11648/j.ajp.20210702.12 T2 - American Journal of Pediatrics JF - American Journal of Pediatrics JO - American Journal of Pediatrics SP - 49 EP - 52 PB - Science Publishing Group SN - 2472-0909 UR - https://doi.org/10.11648/j.ajp.20210702.12 AB - Choledochal cysts (CCs) are congenital dilatations of extrahepatic and/or intrahepatic bile ducts. It is a rare biliary entity, in the Asian population, the incidence can be as high as 1:1000 live. We reported case of One-month old baby girl with yellowish skin and acholic stool the baby has been suspected with anechoic abdominal mass at 17 weeks of gestational age using fetal ultrasound. From physical examination, jaundice was seen on the sclera and all over the body. The bowel sound was normal, without distention, without palpable liver nor spleen. The mass was not palpable either. Aspartate transaminase serum (AST), alanine aminotransferase serum (ALT), gamma glutamyl tranferase (GGT), bilirubin level was increased. Ultrasound was performed and revealed extrahepatic dilation to form a saccus in the proximal CBD, according to the picture of type 1 choledocal cyst. The surgeon performed cyst excision and hepatoduodenostomy procedure and found choledochal cyst. Histopathologic examination from cyst confirmed the choledochal cyst. The patient was discharged in good condition. We conclude that Type I choledochal cysts can be identified prenatally during a detailed fetal sonogram. The newborn should be investigated to confirm the diagnosis and undergo cyst excision promptly to reduce the potential for complications. VL - 7 IS - 2 ER -
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