Retrospective Study of Choledochal Cyst: Clinical Presentation, Diagnosis and Treatment

Choledochal cyst is a rare congenital anomaly lead to dilatation of intrahepatic or extrahepatic bile duct or both. Much about etiology, pathophysiology and natural course of the disease are still on debate. Gastroenterologists, surgeons and radiologists alike still strive to optimize their roles in the management of choledochal cysts. Here we have analyzed 30 operated cases of cc in our KEM hospital. We found most common age group of presentation of cc in adult is 32yr-41yr with female preponderance. Most common presenting symptom is pain. Though various radiological modalities were used to diagnose it but MRCP is most sensitive and specific for cc. In our series type I cc is most common occurrence of (63.33%). Out of 30 patients, one had developed cholangiocarcinoma and Whipples procedure was done. All other patients had undergone roux.en y hepaticojejunostomy with cyst excision without any major complication. One mortality due to malignancy. So in view of risk of malignancy early cyst excision and internal drainage is treatment of choice.