Choledochal Cyst with Annular Pancreas
History
• 45 , Female• Recurrent pain in epigastric region x 3-4 yrs• Investigations:– Biochemistry: s. amylase, s. lipase , s. Alk.pho.
Elevated s/o acute mild pancreatitis, rest NAD– USG : dilated CBD with lower end tapering and
central IHBR– MRCP: type 1 choledochal cyst
Imaging
Exposure
Annular Pancreas
Annular pancreas
Liver
Duodenum
CDC Excision
Intrapancreatic excision
Intrapancreatic dissection
Upper margin & Reconst.
RYHJ
• Post –operative course uneventful.• Patient gained 6 kg wt. over 4 months.• Follow up till date is excellent course with no
gastric outlet obstructive symptoms
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