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 ----Continue--- Downloads Full Text Article 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 More Citation Formats ACM ACS APA ABNT Chicago Harvard IEEE MLA Turabian Vancouver Download Citation Endnote/Zotero/Mendeley (RIS) BibTeX Issue Vol. 72 No. 10 (2022): OCTOBER Section CASE REPORT