Acute pancreatitis with Cullen's sign presentation in a case of mixed type I and II choledochal cyst.
J Pediatr Surg
; 54(10): 2187-2190, 2019 Oct.
Article
in En
| MEDLINE
| ID: mdl-31262503
ABSTRACT
A 3â¯year old girl presented initially with acute severe hemorrhagic pancreatitis diagnosed by clinical features including a positive Cullen's sign and raised serum amylase. A contrast enhanced computed tomography (CECT) scan corroborated the same and also reported a type I choledochal cyst. Magnetic resonance cholangiopancreatography (MRCP) 2â¯months later reported a type II choledochal cyst and a persistent pseudo pancreatic cyst. Intraoperative features and close perusal of the CECT and MRCP films showed the presence of mixed type I and II choledochal cyst. The case is reported for the presence of Cullen's sign, CECT and MRCP features of a mixed type I and II choledochal cyst and successful surgical outcome. It appears to be only the fifth case of mixed type I and II choledochal cyst in world literature in the pediatric age group, following the 4 previous cases in children reported from Japan.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Choledochal Cyst
/
Pancreatitis, Acute Hemorrhagic
Type of study:
Etiology_studies
Limits:
Child, preschool
/
Female
/
Humans
Language:
En
Journal:
J Pediatr Surg
Year:
2019
Document type:
Article
Affiliation country:
India