Choledochal cyst - A different disease in newborns and infants

Zafar Nazir, Munira Abdul Aziz

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8 Citations (Scopus)


We report experience of managing Choledochal Cyst (CC) in different paediatric ages. Eleven neonates and infants (aged 0-8 months) and 24 paediatric cases (aged 2.5 - 18 years) were managed over 24 years (1988 to 2012). Neonates and infants presented with jaundice, acholic stools and abdominal mass whereas most of the paediatric cases presented with intermittent non-specific abdominal pain. Morphology of CC was mostly cystic in neonates whereas it was fusiform in majority (62%) of paediatric cases. Biliary amylase was high and correlated with the presence of abnormal pancreaticobiliary junction (PBJ) in 20 /24 paediatric patients. Obstruction at the lower end of bile duct, liver fibrosis and cirrhosis were common in neonates. In conclusion, CC in newborns and infants is different and mimic correctable Biliary Atresia (BA). Early excision of CC and biliary reconstruction is promising in neonates, infants and children and it can be performed with minimal morbidity.

Original languageEnglish
Pages (from-to)868-870
Number of pages3
JournalJournal of the College of Physicians and Surgeons--Pakistan : JCPSP
Issue number11
Publication statusPublished - 2014


  • Abnormal pancreatico-biliary junction
  • Biliary reconstruction
  • Children
  • Choledochal cyst
  • Choledochocal malfomation
  • Excision
  • Per-operative cholangiography
  • Ultrasonography


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