Question
A 17 years old female presented with recurrent abdominal pain for the last 3 months. On laboratory investigations amylase and lipase was raised. USG shows normal GB, MRCP image is given below. What is the most probable diagnosis?
| A. |
Choledochal cyst
|
| B. |
Annular pancreas
|
| C. |
Pancreas divisum
|
| D. |
CBD stone
|
Show Answer
|
Correct Answer � A
Explanation
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|
Choledochal Cyst
– Congenital cystic dilatation of biliary tree.
– Most common type: Type I (fusiform CBD dilation).
– Epidemiology: More common in females, especially Asians.
Symptoms:
• Recurrent abdominal pain
• Pancreatitis (↑ amylase/lipase)
• Jaundice
• Sometimes right upper quadrant mass
Investigations:
• MRCP is gold standard
• USG for initial screening
Complications:
• Cholangitis
• Pancreatitis
• Cholangiocarcinoma (risk ↑ with age)
Treatment:
• Surgical excision of cyst + Roux-en-Y hepaticojejunostomy
