A misdiagnosis of choledochal cyst type IB and recommendation to use gold-standard imaging techniques: a case report

Authors

  • Arsalan Hyder 3rd Year MBBS Student, Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan
  • Nitik sharma 3rd Year MBBS Student, Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan
  • Farhan Ali Department of Internal Medicine, Dr. Ruth K.M Pfau Civil Hospital, Dow University of Health Sciences, Karachi, Pakistan
  • Hina Sadiq Department of Paediatric Medicine, Dr. Ruth K.M Pfau Civil Hospital, Dow University of Health Sciences, Karachi, Pakistan
  • Kashif Ali Department of Internal Medicine, Dr. Ruth K.M Pfau Civil Hospital, Dow University of Health Sciences, Karachi, Pakistan
  • Hittik Kumar 3rd Year MBBS Student, Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan

DOI:

https://doi.org/10.47391/JPMA.4855

Abstract

Abstract

A choledochal cyst (CC) is a rare congenital dilation of the biliary ductal system that can cause troublesome complications when left untreated. CC in children classically manifests as a rare triad of the right upper quadrant mass, jaundice, and abdominal pain. Here, we report the case of an eight-year-old boy seen in Paediatric Unit I of Dr Ruth K. M. Pfau Civil Hospital Karachi, Pakistan, on October 9, 2019, who was initially misdiagnosed for liver abscess due to the non-specific symptoms and managed appropriately with antibiotics, which failed to improve the symptoms. Moreover, a hydatid cyst was considered based on ultrasonography (USG) which was later ruled out by the negative serology. A definitive diagnosis of CC was established on magnetic resonance cholangiopancreatography (MRCP). In resource-limited countries, USG is always the first line screening tool for biliary duct abnormalities which in some cases is comprehensibly enough for

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Published

2022-09-15

How to Cite

Hyder, A., sharma, N., Ali, F., Sadiq, H., Ali, K., & Kumar, H. (2022). A misdiagnosis of choledochal cyst type IB and recommendation to use gold-standard imaging techniques: a case report. Journal of the Pakistan Medical Association, 72(10), 2137–2139. https://doi.org/10.47391/JPMA.4855

Issue

Section

CASE REPORT