Prospective study of clinical presentation and management of choledochal cyst

A prospective study of 18 cases of choledochal cysts admitted in a tertiary care hospital is hereby presented. The aims and objectives were to study the clinical presentations and management of these cases. Materials and methods included thorough history and examination , investigations and appropriate operative management of these cases. Mean age of incidence of choledochal cyst was 17.24 yrs and the incidence of classical triad of symptoms(pain abdomen, jaundice and mass) was 33.3%. USG was done in all cases and ERCP/ CTS were done if necessary. Type-I choledochal cyst was commonest presentation while Type- II, III and V were not encountered. Associated complications were present in 60% although incidence of malignancy was zero in our series as against 3-8% in others. Surgical excision of cyst is the main modality of treatment, more so in our population because of poor follow up. Complication rate after surgery is 60% which is high. The present study is limited to patients presenting to a tertiary care hospital hence the incidence and other statistics cannot interpolated to general population for which a large series is needed.

Keywords: Choledochal cyst, Todani, USG, CTS, Excision