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 |
|
Correct Answer � A Explanation |
 |
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