KINDERRADIOLOGIE ONLINE - view radiology images and radiology cases
Lesen Sie diese Seite auf Deutsch   Read this page in English
The Peer Reviewed Pediatric Radiology Platform on the Web
ISSN: 1942-955X :: Publisher: EduRad ::Editor-In-Chief: Roland Talanow, MD, PhD  
Browse Browse || Search Search || Online Book Systematically Online Book Systematically || Discussion Forum Discussion Forum || News News || Submit a Case Submit a Case || Rules Rules |
Most Interesting Cases Most Interesting Cases || "Most Diligent" Authors "Most Diligent" Authors || Case of the Day Case of the Day || Teaching files Teaching files || Links Links |
Newsletter Newsletter || Start Start || Survey Survey || Your Opinion Your Opinion || My Profile My Profile || CME-Credits CME-Credits |
    Pediatric Radiology News / Ads / Jobs Get the Pediatric Radiology News as RSS feed !
    Send us your news or ads for free
  • Pulmonary Disease in Cystic Fibrosis: Assessment with Chest CT at Chest Radiography Dose Levels.... (Radiology)
  • Feasibility study to assess clinical applications of 3-T cine MRI coupled with synchronous audio rec... (Pediatr Radiol)
  • The impact of share wave elastography in differentiation of hepatic hemangioma from malignant liver ... (Eur J Radiol)
  • CME Kurs: Paediatric Body MRI

  • CME course: Paediatric Body MRI

  • Universitätsklinikum Jena sucht eine Ärztin/einen Arzt in Weiterbildung in Vollzeit

  • Kinderspital Zürich sucht Oberärztin / Oberarzt (100 %)

  • Kinderradiologische Oberärztin / Oberarzt gesucht

  • 2 Stellen in der Kinderradiologie - 1 Assistenzärztin/Assistenzarzt und 1 Oberärztin/Oberarzt in Voll- oder Teilzeit

  • Senior Paediatric Radiologist in Pediatric Radiology section needed

  • Facharzt als Oberärztin / Oberarzt in Sektion Kinderradiologie gesucht

  • Stellenangebot für Assistenzarzt (m/w) zur Facharztausbildung für RADIOLOGIE und/oder KINDERRADIOLOGIE

  • „Fellow“-Stelle zur Weiterbildung in Pädiatrischer Radiologie am Kinderspital Zürich

  • Fellow-Stelle Pädiatrische Neuroradiologie

  • FFF Kinderradiologie - Muskuloskelettale Radiologie im Kindesalter (Fit für den Facharzt)

  • Assistenzarzt für Kinderradiologe gesucht an Universitätsklinikum Schleswig-Holstein, Campus Kiel

  • Turnusarzt (m/w) in Ausbildung zum Facharzt (m/w) für Radiologie

  • Assistenzarzt (m/w) zur Weiterbildung im Schwerpunkt Kinderradiologie

  • Send us your news or ads for free

    Get the Pediatric Radiology News as RSS feed !


    Radiolopolis

    The dynamic Radiology community for education, research and practice


     

    Go to the top of the page   ID: 20091226123802 Original case in english  More links about this topic on Pubmed (PubMed Reader)
    Add this case to your RSS feeder: Subscribe to RSS feed Add to Yahoo Add to Google Add to AOL Add to Furl Subscribe to Feed Burner feed

    Bookmark and Share


    | The Authors | Discussion | Write a Comment to this Case |
    | Evaluate this Case | Recommend this Case to a Colleague |
    | Citation | Similar Cases | Similar Cases in the Internet | Images to this Case |
     
    Choledochal cyst
    Sanjeeb Kumar. Choledochal cyst. PedRad [serial online] vol 9, no. 12.
    URL: www.PedRad.info/?search=20091226123802


     
     Pediatric Radiology CasesImages to this case: There are MRI-images available for this case. [ MRI ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    Sanjeeb Kumar Sarma (Down Town Hospital / Guwahati / India)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    10 Years  

     
     Pediatric Radiology CasesGender:

    Male  

     
     Pediatric Radiology CasesRegion-Organ:

    Abdomen-Liver  

     
     Pediatric Radiology CasesMost likely etiology:

    congenital  

     
     Pediatric Radiology CasesHistory:

    10 years old male patient complains of on and off right upper abdominal pain since last 3-4 months.  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    Congenital dilatation of the biliary tract, so called choledochal cyst, is classified based on spectrum of morphologic changes in the bile ducts. The most common classification scheme of Alonso-Lej includes type I, which is dilatation of the CBD; type II, which is diverticulum of the CBD; and type III, which is a rare choledochocele. Todani and his colleagues further added to this classification type IV-A, representing multiple cysts of the IHBDs and EHBDs; type IV-B, representing multiple cysts of EHBDs; and type V, representing multiple cysts of the IHBDs , or Caroli disease.
    The choledochal cyst is not a true cyst of the biliary tract but rather some variation of duct dilatation. Etiology is unknown but supposedly multifactorial.
    On CT choledochal cyst can have varying appearance depending on the extent of ductal involvement and the degree of dilatation. There may only be mild EHBD dilatation or a large water density mass in porta hepatis or adjacent to the head of the pancreas.Reportedly, 60% of choledochal cyst will have associated congenital IHBD dilatation..Congenitally dilated IHBD often have a lobulated cystic appearance with an abrupt transition zone at the junction with the normal ducts.Acquired biliary dilatation usually doesn't have the lobulated cystic appearance and the dilated ducts usually taper gradually towards the periphery of the liver.Direct communication of the cystic duct to the dilated EHBDs will aid making the diagnosis of choledochal cyst.Ultrasonography aids to differentiate with other pathology.However, sometimes DISIDA scan may be required. CT and MR cholangiography are diagnostic.
    Here, is a case of type I disease with tiny calculi both within gall bladder and choledochal cyst.  

     
     Pediatric Radiology CasesRadiological findings:


    MRI 1 <- view MRI 1

    MRI 1: Axial T2 sections showing dilated CBD with intraluminal sludge and calculi.





    MRI 2 <- view MRI 2

    MRI 2: Axial T2 sections showing multiple small calculi in gall bladder neck (arrow).





    MRI 3 <- view MRI 3

    MRI 3: Axial T2 sections showing gall bladder ( short arrow) and a cystic structure (long arrow)





    MRI 4 <- view MRI 4

    MRI 4: Axial T2 sections showing a cystic structure with luminal sludge and the gall bladder.





    MRI 5 <- view MRI 5

    MRI 5: Axial T2 sections showing dilated CBD anterior to IVC.




    MRI 6 <- view MRI 6

    MRI 6: MRCP showing gall bladder with calculi (short arrow) and a cystic structure (long arrow).





    MRI 7 <- view MRI 7

    MRI 7: MRCP showing both gall bladder and a cystic structure.





    MRI 8 <- view MRI 8

    MRI 8: MRCP showing small calculi in a cystic structure (arrow)



     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Imaging including endoscopy  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    Gastro-intestinal tract duplication cyst, mesenteric cyst, hepatic cysts, pseudocysts, ovarian cysts, and renal cysts.  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    If untreated bile stasis, stone formation,infection , pancreatitis,biliary cirrhosis, and portal hypertension may occur.Reported increased incidence of hepatobiliary malignancy.  

     
     Pediatric Radiology CasesComments of the author about the case:

    Surgical treatment was done with improvement and follow up is done on regular basis.  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    1. Medline: Medline
    1.Computed tomography and magnetic resonence imaging of the whole body by John R Haaga, Charles F Lanzeri--4th Ed.Mosby 3003.  

     
     Pediatric Radiology CasesKeywords:

    Choledochal, choledochocele, IHBD, EHBD, CBD., child, childhood, pediatric radiology  

     
     Pediatric Radiology Cases Cite this article:

    Sanjeeb Kumar. Choledochal cyst. PedRad [serial online] vol 9, no. 12.
    URL: www.PedRad.info/?search=20091226123802  

     
     Pediatric Radiology Cases Read similar articles: with corresponding keywords
    in the same field: Abdomen-Liver
    or in the region: Abdomen
    or in the tissue/organ: Liver
    or with the etiology: congenital
     
     Pediatric Radiology CasesImages to this case: There are MRI-images available for this case. [ MRI ] View all modalities [ All ]   
     
    Choledochal cyst
    Sanjeeb Kumar. Choledochal cyst. PedRad [serial online] vol 9, no. 12.
    URL: www.PedRad.info/?search=20091226123802


     

    Search similar cases in:
    More links about this topic on Pubmed  More links about this topic on Yahoo  More links about this topic on Altavista  More links about this topic on MSN  More links about this topic on Google  More links about this topic on Fireball

    Peer-reviewed Radiology Search



    Choledochal cyst
    Other cases by these authors:

    Search Sanjeeb Kumar Sarma in Medline Sanjeeb Kumar Sarma (8)   

    Choledochal cyst  
     
    Choledochal cyst
    Sanjeeb Kumar. Choledochal cyst. PedRad [serial online] vol 9, no. 12.
    URL: www.PedRad.info/?search=20091226123802


     
     
    Choledochal cyst
    Sanjeeb Kumar. Choledochal cyst. PedRad [serial online] vol 9, no. 12.
    URL: www.PedRad.info/?search=20091226123802


     

    Medical Dictionary
    Search in medical dictionary for
    Or type in a keyword
    ( Provided by The On-Line Medical Dictionary )




    How interesting was this case for you?
    (10 = most interesting || 1 = less interesting)
     
    Choledochal cyst
    Sanjeeb Kumar. Choledochal cyst. PedRad [serial online] vol 9, no. 12.
    URL: www.PedRad.info/?search=20091226123802


     




    Discussion >> Write Comment <<



      There are no comments available regarding this case.





     Write a comment to this case (With * marked fields have to be filled)

    Type in this number: 1491

    Name: *

    E-Mail:

    Website:

    Subject: *

    Text: *




     
      Pediatric Radiology Discussion Get the Pediatric Radiology Discussion as RSS feed !
      To the discussion forum
    • re: Kurzdarmsyndrom --- Behandlungsfehler

    • re: Dysostosis cleidocranialis:
        Dysostosis cleidocranialis








    • re: Zystisch adenomatoide Malformation der Lunge:
        zystische adenomatoide lungenmalformation








    • re: Zystisch adenomatoide Malformation der Lunge:
        zystische adenomatoide lungenmalformation


    • Eosinophiles Granulom bzw. monostotischer Knochenbefall einer Langerhans-Zell-Histiozytose (LZH):
        hatte das gleiche granulom im kopf


    • re: Zystisch adenomatoide Malformation der Lunge:
        zystische adenomatoide lungenmalformation


    • Femurlänge Kleinkind 12 Monate, weiblich

    • re: Tethered-cord Syndrom

    • To the discussion forum

      Get the Pediatric Radiology Discussion as RSS feed !

      © 2001-2014   www.kinderradiologie-online.de
      In cooperation with © Radiolopolis - Radiology Search - Radiology Teacher - PubMed Reader - Annotate - Radiology Lectures & Tutorials - Radiology Boards Preparation - Pediatric Radiology Links - Pediatric Radiology Information - Emergency Radiology - Lung Cancers - USMLE Forums - Cancer Staging Information - Chest Radiology - Radiology Case Report Journal
      For suggestions and questions: information@kinderradiologie-online.de
      Add this site to your favorites (CTRL+D)