J Korean Surg Soc.  2011 Dec;81(Suppl 1):S85-S88. 10.4174/jkss.2011.81.Suppl1.S85.

Choledochal cyst with ectopic distal location of the papilla of Vater

• Kim SK
• Jeong YJ
• Kim JC

• KMID: 1445794
• DOI: http://doi.org/10.4174/jkss.2011.81.Suppl1.S85

Abstract

In cholangiographic techniques, the close relationship between choledochal cyst and anomalous union of pancreaticobiliary duct has attracted medical attention. There have been rare cases in which the papilla of Vater was found in a position other than its normal position, and such cases have been reported sporadically. However, such cases are interesting in the anatomical context. In this review, we present our experience of choledochal cyst in a 30-month-old boy in whom the papilla of Vater was positioned in the third portion of the duodenum.

Keyword

Common bile duct cyst; Choledochal cyst; Cholangiography; Papilla of Vater

MeSH Terms

Cholangiography
Choledochal Cyst
Duodenum
Preschool Child

Figure

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  Fig. 1 Abdominal computed tomography findings. There were some signs of choledochal cyst with dilatation of intrahepatic bile duct accompanied by dilatation of the common bile duct.

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  Fig. 2 Magnetic resonance cholangiopancreatographic findings. Extrahepatic bile duct dilatation and intrahepatic bile duct dilatation at the center was observed, however the obvious part of the pancreaticobiliary union was not identified.

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  Fig. 3 Operative cholangiogram. P-B type pancreaticobiliary malunion, in which the pancreatic duct joins the common bile duct, and the papilla of Vater is positioned at the third portion of the duodenum was identified.

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