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CASE REPORT
Year : 2017  |  Volume : 6  |  Issue : 2  |  Page : 112-115

Spontaneous resolution of choledochal cyst


1 Department of Pediatrics, School of Medicine, University of Arizona, Tucson, AZ 85724, USA
2 Department of Radiology, School of Medicine, University of Arizona, Tucson, AZ 85724, USA

Correspondence Address:
Ranjit I Kylat
The University of Arizona, 1501, N Campbell Avenue, Tucson, AZ 85724
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jcn.JCN_108_16

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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.


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