Choledochal cyst presenting with neonatal intestinal obstruction: A case report

Authors

  • IGB Adria Hariastawa Airlangga University
  • Yoshua Eric Irawan Airlangga University
  • Illona Okvita Wiyogo Airlangga University

DOI:

https://doi.org/10.47338/jns.v12.1202

Keywords:

Choledochal cyst, Neonates, Intestinal obstruction, Bilious vomiting

Abstract

Background: Most patients with choledochal cysts are diagnosed during childhood. Therefore, the aim of this study is to report a case of early detected choledochal cyst in a neonate patient presenting with intestinal obstruction.  

Case Presentation: A 5-day-old baby girl was brought to the hospital with a chief complaint of bilious vomiting. No history of jaundice was found. Ultrasound in the third trimester (37 weeks) showed an anechoic cyst with a smooth wall, no septum, with a size of 5.5x4.7x4.7 cm, suspected ovarian cyst. At 4 days old, MRCP showed dilated right and left Intrahepatic bile duct with a normal gallbladder, suspected as choledochal cyst Todani type 1. The patient was operated on at 7 days old and was discharged 15 days after surgery. Nine months after discharge, the patient was in good condition with no complaints of jaundice nor acholic stool and normal liver function test.

Conclusion: Prenatal diagnosis of choledochal cyst gave awareness to receive appropriate treatment. Bowel obstruction without jaundice could be an early symptom of a choledochal cyst in neonates.

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Author Biographies

IGB Adria Hariastawa, Airlangga University

Division of Pediatric Surgery, Faculty of Medicine, Universitas Airlangga, Surabaya, East Java, Indonesia 60286

Yoshua Eric Irawan, Airlangga University

Division of Pediatric Surgery, Faculty of Medicine, Universitas Airlangga, Surabaya, East Java Indonesia - Dr. Soetomo General-Academic Hospital, Surabaya, Indonesia

Illona Okvita Wiyogo, Airlangga University

Division of Pediatric Surgery, Faculty of Medicine, Universitas Airlangga, Surabaya, East Java, Indonesia 60286

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Published

2023-07-09

How to Cite

1.
Adria Hariastawa I, Eric Irawan Y, Wiyogo IO. Choledochal cyst presenting with neonatal intestinal obstruction: A case report. J Neonatal Surg [Internet]. 2023Jul.9 [cited 2024Feb.22];12:19. Available from: https://www.jneonatalsurg.com/ojs/index.php/jns/article/view/1202