Choledochal cyst with obstructive symptomatology in a pregnant woman

Authors

  • Celina Lisbeth Solis Ramos Fondo Solidario para la Salud, San Salvador, El Salvador. https://orcid.org/0000-0001-9656-2558
  • Julio Alfaro Varela Clínica de Cirugía Hepatobiliar del Hospital Médico Quirúrgico, Instituto Salvadoreño del Seguro Social, San Salvador, El Salvador. https://orcid.org/0000-0003-4978-9754
  • Mario Interiano Tobar Clínica de Cirugía Hepatobiliar del Hospital Médico Quirúrgico, Instituto Salvadoreño del Seguro Social, San Salvador, El Salvador. https://orcid.org/0000-0002-1930-5643
  • Gabriel Villa Acevedo Hospital Médico Quirúrgico del Instituto Salvadoreño del Seguro Social (ISSS), San Salvador, El Salvador.
  • Ethel Rivas Zuleta Departamento de Radiología e Imágenes, Instituto Salvadoreño del Seguro Social, San Salvador, El Salvador. https://orcid.org/0000-0002-6916-7461
  • Mario Tevez Rivas Departamento de Radiología e Imágenes, Instituto Salvadoreño del Seguro Social, San Salvador, El Salvador. https://orcid.org/0000-0001-9868-7872

DOI:

https://doi.org/10.5377/alerta.v4i3.10936

Keywords:

Choledochal Cyst, Congenital Biliary, cholangiopancreatography, endoscopic retrograde, cholangitis

Abstract

Choledochal cysts are rare, in western countries an incidence of 1 per 100,000
live births has been reported. In Asian countries, this incidence is greater than 1
per 100 live births. They are usually diagnosed during childhood and in 25% of patients
they present during their adult life. It is unusual for them to occur during pregnancy,
especially during the first trimester. A case report was made with an unusual presentation
of the non-causal clinical picture, of a pregnant woman in her first trimester with obstructive
symptoms, evolving to cholangitis. Ultrasonographic and blood chemistry studies indicated
an obstructive process. Cholangioresonance and endoscopic ultrasonography revealed a type
1C common bile duct cyst, a sphincterotomy was performed which showed drainage of bile.
After discharge from the hospital, the patient presented again cholangitis, an endoscopic
drainage was performed, an instrumental curettage for failed abortion and elective surgery
was performed at four months; resection of common bile duct cyst with biliodigestive
diversion by open surgery, without complications.

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Published

2021-07-26

How to Cite

Solis Ramos, C. L., Alfaro Varela, J., Interiano Tobar, M., Villa Acevedo, G., Rivas Zuleta, E., & Tevez Rivas, M. (2021). Choledochal cyst with obstructive symptomatology in a pregnant woman. Alerta, Revista científica Del Instituto Nacional De Salud, 4(3), 109–113. https://doi.org/10.5377/alerta.v4i3.10936

Issue

Vol. 4 No. 3 (2021)

Section

Case Report

License

Copyright (c) 2021 Celina Lisbeth Solis Ramos, Julio Alfaro Varela, Mario Interiano Tobar, Gabriel Villa Acevedo, Ethel Rivas Zuleta, Mario Tevez Rivas

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