Choledochal Cyst

by Susanne Shamsolkottabi, Simon Kao, M.D.,
Eric A. Hoffman, Ph.D. at the University of Iowa

Patient History

12-old-girl with a week of history of deepening in color of urine and increasing itchiness of the skin. There was occasional right upper quadrant pain after food, but no fever. Blood test shows an elevated serum bilirubin and other liver enzymes. Ultrasound examination of the abdomen reveals a large cystic mass in the expected location of the common bile duct, with diffuse dilatation of the intrahepatic biliary system. Gallbladder is normally seen without stones. A heavily T2W magnetic resonance cholangiography and a MR venogram were performed using a 1.5 T GE machine without breath holding.