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Choledochal Cyst
Hee Sun Park, MD, PhD; Aya Kamaya, MD, FSRU, FSAR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Abbreviations

              • Anomalous pancreatobiliary ductal union (APBDU)
              • Common duct (CD)
            • Synonyms

              • Choledochal malformation, biliary cyst, choledochocele
            • Definitions

              • Congenital segmental dilatation of intrahepatic &/or extrahepatic bile ducts

            IMAGING

            • General Features

              • Ultrasonographic Findings

                • CT Findings

                  • MR Findings

                    • Nuclear Medicine Findings

                      • Other Modality Findings

                        • Imaging Recommendations

                          DIFFERENTIAL DIAGNOSIS

                            PATHOLOGY

                            • General Features

                              • Staging, Grading, & Classification

                                • Gross Pathologic & Surgical Features

                                  • Microscopic Features

                                    CLINICAL ISSUES

                                    • Presentation

                                      • Demographics

                                        • Natural History & Prognosis

                                          • Treatment

                                            DIAGNOSTIC CHECKLIST

                                            • Consider

                                              • Image Interpretation Pearls

                                                Selected References

                                                1. Venkatanarasimha N et al: Imaging features of ductal plate malformations in adults. Clin Radiol. 66(11):1086-93, 2011
                                                2. Lee HK et al: Imaging features of adult choledochal cysts: a pictorial review. Korean J Radiol. 10(1):71-80, 2009
                                                3. Kishino T et al: Choledochocele demonstrated on conventional sonography. J Clin Ultrasound. 34(4):199-202, 2006
                                                4. Mortele KJ et al: Multimodality imaging of pancreatic and biliary congenital anomalies. Radiographics 26: 715-731; 2006
                                                5. Chen CP et al: Prenatal diagnosis of choledochal cyst using ultrasound and magnetic resonance imaging. Ultrasound Obstet Gynecol. 23(1):93-4, 2004
                                                6. Hamada Y et al: Magnetic resonance cholangiopancreatography on postoperative work-up in children with choledochal cysts. Pediatr Surg Int. 20(1):43-6, 2004
                                                7. Haliloglu M et al: Choledochal cysts in children: evaluation with three-dimensional sonography. J Clin Ultrasound. 31(9):478-80, 2003
                                                8. Sugiyama M et al: Anomalous pancreaticobiliary junction shown on multidetector CT. AJR Am J Roentgenol. 180(1):173-5, 2003
                                                9. Todani T et al: Classification of congenital biliary cystic disease: special reference to type Ic and IVA cysts with primary ductal stricture. J Hepatobiliary Pancreat Surg. 10(5):340-4, 2003
                                                10. Zhong L et al: Imaging diagnosis of pancreato-biliary diseases: a control study. World J Gastroenterol. 9(12):2824-7, 2003
                                                11. Benya EC: Pancreas and biliary system: imaging of developmental anomalies and diseases unique to children. Radiol Clin North Am. 40(6):1355-62, 2002
                                                12. Casaccia G et al: Cystic anomalies of biliary tree in the fetus: is it possible to make a more specific prenatal diagnosis? J Pediatr Surg. 37(8):1191-4, 2002
                                                13. de Vries JS et al: Choledochal cysts: age of presentation, symptoms, and late complications related to Todani's classification. J Pediatr Surg. 37(11):1568-73, 2002
                                                14. Guy F et al: Caroli's disease: magnetic resonance imaging features. Eur Radiol. 12(11):2730-6, 2002
                                                15. Krause D et al: MRI for evaluating congenital bile duct abnormalities. J Comput Assist Tomogr. 26(4):541-52, 2002
                                                16. Gubernick JA et al: US approach to jaundice in infants and children. Radiographics. 20(1):173-95, 2000
                                                Related Anatomy
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                                                Related Differential Diagnoses
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                                                References
                                                Tables

                                                Tables

                                                KEY FACTS

                                                • Terminology

                                                  • Imaging

                                                    • Top Differential Diagnoses

                                                      • Clinical Issues

                                                        • Diagnostic Checklist

                                                          TERMINOLOGY

                                                          • Abbreviations

                                                            • Anomalous pancreatobiliary ductal union (APBDU)
                                                            • Common duct (CD)
                                                          • Synonyms

                                                            • Choledochal malformation, biliary cyst, choledochocele
                                                          • Definitions

                                                            • Congenital segmental dilatation of intrahepatic &/or extrahepatic bile ducts

                                                          IMAGING

                                                          • General Features

                                                            • Ultrasonographic Findings

                                                              • CT Findings

                                                                • MR Findings

                                                                  • Nuclear Medicine Findings

                                                                    • Other Modality Findings

                                                                      • Imaging Recommendations

                                                                        DIFFERENTIAL DIAGNOSIS

                                                                          PATHOLOGY

                                                                          • General Features

                                                                            • Staging, Grading, & Classification

                                                                              • Gross Pathologic & Surgical Features

                                                                                • Microscopic Features

                                                                                  CLINICAL ISSUES

                                                                                  • Presentation

                                                                                    • Demographics

                                                                                      • Natural History & Prognosis

                                                                                        • Treatment

                                                                                          DIAGNOSTIC CHECKLIST

                                                                                          • Consider

                                                                                            • Image Interpretation Pearls

                                                                                              Selected References

                                                                                              1. Venkatanarasimha N et al: Imaging features of ductal plate malformations in adults. Clin Radiol. 66(11):1086-93, 2011
                                                                                              2. Lee HK et al: Imaging features of adult choledochal cysts: a pictorial review. Korean J Radiol. 10(1):71-80, 2009
                                                                                              3. Kishino T et al: Choledochocele demonstrated on conventional sonography. J Clin Ultrasound. 34(4):199-202, 2006
                                                                                              4. Mortele KJ et al: Multimodality imaging of pancreatic and biliary congenital anomalies. Radiographics 26: 715-731; 2006
                                                                                              5. Chen CP et al: Prenatal diagnosis of choledochal cyst using ultrasound and magnetic resonance imaging. Ultrasound Obstet Gynecol. 23(1):93-4, 2004
                                                                                              6. Hamada Y et al: Magnetic resonance cholangiopancreatography on postoperative work-up in children with choledochal cysts. Pediatr Surg Int. 20(1):43-6, 2004
                                                                                              7. Haliloglu M et al: Choledochal cysts in children: evaluation with three-dimensional sonography. J Clin Ultrasound. 31(9):478-80, 2003
                                                                                              8. Sugiyama M et al: Anomalous pancreaticobiliary junction shown on multidetector CT. AJR Am J Roentgenol. 180(1):173-5, 2003
                                                                                              9. Todani T et al: Classification of congenital biliary cystic disease: special reference to type Ic and IVA cysts with primary ductal stricture. J Hepatobiliary Pancreat Surg. 10(5):340-4, 2003
                                                                                              10. Zhong L et al: Imaging diagnosis of pancreato-biliary diseases: a control study. World J Gastroenterol. 9(12):2824-7, 2003
                                                                                              11. Benya EC: Pancreas and biliary system: imaging of developmental anomalies and diseases unique to children. Radiol Clin North Am. 40(6):1355-62, 2002
                                                                                              12. Casaccia G et al: Cystic anomalies of biliary tree in the fetus: is it possible to make a more specific prenatal diagnosis? J Pediatr Surg. 37(8):1191-4, 2002
                                                                                              13. de Vries JS et al: Choledochal cysts: age of presentation, symptoms, and late complications related to Todani's classification. J Pediatr Surg. 37(11):1568-73, 2002
                                                                                              14. Guy F et al: Caroli's disease: magnetic resonance imaging features. Eur Radiol. 12(11):2730-6, 2002
                                                                                              15. Krause D et al: MRI for evaluating congenital bile duct abnormalities. J Comput Assist Tomogr. 26(4):541-52, 2002
                                                                                              16. Gubernick JA et al: US approach to jaundice in infants and children. Radiographics. 20(1):173-95, 2000