Giant Choledochal Cyst in an Adult at a Teaching Hospital in South-Western Uganda: A Case Report

Mvuyo Maqhawe Sikhondze,1 Carlos Cabrera Dreque,1 Edson Tayebwa,1 Gotharido Tumubugane,1 Charles Newton Odongo,1 Eugene Ogwang2 1Department of Surgery, Mbarara University of Science and Technology, Mbarara City, South-Western Uganda, Uganda; 2Department of Radiology, Mbarara University of Science an...

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Autores principales:	Sikhondze MM, Cabrera Dreque C, Tayebwa E, Tumubugane G, Odongo CN, Ogwang E
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	giant choledochal cyst choledochal cyst todani’s classification Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/8a64c2ef46bd4f1ead02b712b3aad520
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spelling	oai:doaj.org-article:8a64c2ef46bd4f1ead02b712b3aad5202021-11-23T18:43:00ZGiant Choledochal Cyst in an Adult at a Teaching Hospital in South-Western Uganda: A Case Report1179-142Xhttps://doaj.org/article/8a64c2ef46bd4f1ead02b712b3aad5202021-11-01T00:00:00Zhttps://www.dovepress.com/giant-choledochal-cyst-in-an-adult-at-a-teaching-hospital-in-south-wes-peer-reviewed-fulltext-article-IMCRJhttps://doaj.org/toc/1179-142XMvuyo Maqhawe Sikhondze,1 Carlos Cabrera Dreque,1 Edson Tayebwa,1 Gotharido Tumubugane,1 Charles Newton Odongo,1 Eugene Ogwang2 1Department of Surgery, Mbarara University of Science and Technology, Mbarara City, South-Western Uganda, Uganda; 2Department of Radiology, Mbarara University of Science and Technology, Mbarara City, South-Western Uganda, UgandaCorrespondence: Mvuyo Maqhawe SikhondzeDepartment of Surgery, Mbarara University of Science and Technology, Mbarara City, South-Western Uganda, UgandaTel +256 48 542 0785Fax +256 48 542 0782Email maqhawesikhondze@yahoo.co.ukBackground: Choledochal cysts are rare congenital malformations characterized by cystic dilatations of the biliary tree. They are more prevalent in East Asian populations, but uncommon in western countries, and scarcely reported in African nations. They are classically diagnosed in children, and only 20– 30% of cases are diagnosed in adulthood. Giant choledochal cysts are those with sizes exceeding 10cm, and are extremely rare with a few reported in the literature, thus the need for this case report.Case: A 25-year-old Ugandan woman presented with an 8-month history of abdominal pain, jaundice and progressively increasing right upper quadrant abdominal mass. She underwent trans-abdominal ultrasonography that revealed a large, well-defined, echo-free mass in the right upper quadrant, extending to the lumbar region. Abdominal computed tomography (CT) revealed a huge thin-walled, cystic mass rising from the right wall of common hepatic duct, displacing the surrounding structures and no visible common bile duct. Complete cyst excision of a giant choledochal cyst type IVa was performed without decompression, in addition to cholecystectomy and reconstruction with hepaticojejunostomy and jejunojejunostomy anastomoses.Conclusion: Giant choledochal cysts are a very rare pathology worldwide. Diagnosis can still be made using ultrasound and CT where more advanced imaging modalities like endoscopic retrograde cholangiopancreatography (ERCP) are not available. Complete surgical resection of giant choledochal cysts is surgically challenging, but essential to relieve symptoms and prevent malignant transformation. To the best of our knowledge, this is the first reported case in the literature, of a giant choledochal cyst that was successfully treated in an African nation.Keywords: giant choledochal cyst, choledochal cyst, Todani’s classificationSikhondze MMCabrera Dreque CTayebwa ETumubugane GOdongo CNOgwang EDove Medical Pressarticlegiant choledochal cystcholedochal cysttodani’s classificationMedicine (General)R5-920ENInternational Medical Case Reports Journal, Vol Volume 14, Pp 789-795 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	giant choledochal cyst choledochal cyst todani’s classification Medicine (General) R5-920
spellingShingle	giant choledochal cyst choledochal cyst todani’s classification Medicine (General) R5-920 Sikhondze MM Cabrera Dreque C Tayebwa E Tumubugane G Odongo CN Ogwang E Giant Choledochal Cyst in an Adult at a Teaching Hospital in South-Western Uganda: A Case Report
description	Mvuyo Maqhawe Sikhondze,1 Carlos Cabrera Dreque,1 Edson Tayebwa,1 Gotharido Tumubugane,1 Charles Newton Odongo,1 Eugene Ogwang2 1Department of Surgery, Mbarara University of Science and Technology, Mbarara City, South-Western Uganda, Uganda; 2Department of Radiology, Mbarara University of Science and Technology, Mbarara City, South-Western Uganda, UgandaCorrespondence: Mvuyo Maqhawe SikhondzeDepartment of Surgery, Mbarara University of Science and Technology, Mbarara City, South-Western Uganda, UgandaTel +256 48 542 0785Fax +256 48 542 0782Email maqhawesikhondze@yahoo.co.ukBackground: Choledochal cysts are rare congenital malformations characterized by cystic dilatations of the biliary tree. They are more prevalent in East Asian populations, but uncommon in western countries, and scarcely reported in African nations. They are classically diagnosed in children, and only 20– 30% of cases are diagnosed in adulthood. Giant choledochal cysts are those with sizes exceeding 10cm, and are extremely rare with a few reported in the literature, thus the need for this case report.Case: A 25-year-old Ugandan woman presented with an 8-month history of abdominal pain, jaundice and progressively increasing right upper quadrant abdominal mass. She underwent trans-abdominal ultrasonography that revealed a large, well-defined, echo-free mass in the right upper quadrant, extending to the lumbar region. Abdominal computed tomography (CT) revealed a huge thin-walled, cystic mass rising from the right wall of common hepatic duct, displacing the surrounding structures and no visible common bile duct. Complete cyst excision of a giant choledochal cyst type IVa was performed without decompression, in addition to cholecystectomy and reconstruction with hepaticojejunostomy and jejunojejunostomy anastomoses.Conclusion: Giant choledochal cysts are a very rare pathology worldwide. Diagnosis can still be made using ultrasound and CT where more advanced imaging modalities like endoscopic retrograde cholangiopancreatography (ERCP) are not available. Complete surgical resection of giant choledochal cysts is surgically challenging, but essential to relieve symptoms and prevent malignant transformation. To the best of our knowledge, this is the first reported case in the literature, of a giant choledochal cyst that was successfully treated in an African nation.Keywords: giant choledochal cyst, choledochal cyst, Todani’s classification
format	article
author	Sikhondze MM Cabrera Dreque C Tayebwa E Tumubugane G Odongo CN Ogwang E
author_facet	Sikhondze MM Cabrera Dreque C Tayebwa E Tumubugane G Odongo CN Ogwang E
author_sort	Sikhondze MM
title	Giant Choledochal Cyst in an Adult at a Teaching Hospital in South-Western Uganda: A Case Report
title_short	Giant Choledochal Cyst in an Adult at a Teaching Hospital in South-Western Uganda: A Case Report
title_full	Giant Choledochal Cyst in an Adult at a Teaching Hospital in South-Western Uganda: A Case Report
title_fullStr	Giant Choledochal Cyst in an Adult at a Teaching Hospital in South-Western Uganda: A Case Report
title_full_unstemmed	Giant Choledochal Cyst in an Adult at a Teaching Hospital in South-Western Uganda: A Case Report
title_sort	giant choledochal cyst in an adult at a teaching hospital in south-western uganda: a case report
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/8a64c2ef46bd4f1ead02b712b3aad520
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Giant Choledochal Cyst in an Adult at a Teaching Hospital in South-Western Uganda: A Case Report

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