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  • Title: [Choledochal cyst IV A type with primary ductal stricture].
    Author: Esteban Granero L, Marinelli P, García Andrada D, Marangoni A, Casaretto E.
    Journal: Acta Gastroenterol Latinoam; 2009 Sep; 39(3):193-6. PubMed ID: 19845259.
    Abstract:
    Type IV A choledochal cyst is a very uncommon disease, characterized by congenital cystic dilatation of the biliary tree extending to the intrahepatic biliary channels also. A case of a 19-year-old female with jaundice and abdominal pain is reported. The patient underwent a thorough clinical, laboratory and imaging examination. Computerized tomography and magnetic cholangiopancreatography revealed a 13.5 cm choledochal cyst with intrahepatic involvement. Excision of the extrahepatic part of cyst was combined with a Roux-en-Y hepaticojejunostomy. A ductal stricture was discovered at the distal part of extrahepatic cyst. There were no perioperative and late complications in the follow-up.
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