Choledochal cysts (CCs) are rare, congenital cystic dilations of the hepatobiliary
tree that require surgical resection to avoid complications such as increased risk
of malignancy. A 25‑week gestational age male infant developed acholic stools,
elevated alkaline phosphatase, and ultrasound findings consistent with CC Todani
Type IVA. Surgery was deferred due to the patient’s low weight. The patient’s
symptoms and radiographic findings subsequently resolved spontaneously.
CCs have not been previously reported in extremely preterm infants. There are
rare reported cases of spontaneously resolving hepatic cysts, all containing key
differences from our patient. In patients in whom immediate surgery is not feasible,
conservative management with close follow‑up and serial ultrasound examinations
would appear to be a reasonable course of action.
| Identifer | oai:union.ndltd.org:arizona.edu/oai:arizona.openrepository.com:10150/625944 |
| Date | 06 1900 |
| Creators | Kurland, Yonatan, Kylat, Ranjit, I, Desoky, Sarah, Bader, Mohammad, Y. |
| Contributors | Department of Pediatrics, School of Medicine, University of Arizona, Tucson,, Department of Radiology, School of Medicine, University of Arizona, Tucson, AZ |
| Publisher | MedKnow |
| Source Sets | University of Arizona |
| Language | English |
| Detected Language | English |
| Type | Article |
| Rights | This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
| Relation | http://www.jcnonweb.com/text.asp?2017/6/2/112/204503 |
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