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Case of the Month

January 2012

Patient Data: 16 year old male

Clinical Info: Routine examination in a patient with intermittent pain in the right upper abdomen


41110-Afbeelding1.jpg
Transverse image of the right upper abdomen showing two cystic structures next to eachother


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Another transverse image of the two cystic structures


41112-3635766_20110708_ABDOMEN-__0003.swf Videoclip of the two cystic structures


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Longitudinal image of one of the two cystic structures


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Longitudinal image of the second cystic structure


41115-3635766_20110708_ABDOMEN-__0002.swf Longitudinal video of both cystic structures


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The structures show no flow and can not be caused by a dilatated vessel


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One of the cystic structures is in continuity with the intrahepatic bile ducts


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This cystic structure also shows continuity with the distal common cile duct


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Detail of the continuity with the distal common bile duct


41120-3635766_20110708_ABDOMEN-__0006.swf Videiclip of the cystic sructure with continuity of the bile ducts


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The pancreas is normal


41122-3635766_20110708_ABDOMEN-__0005.swf Videoclip of the cystic mass and the pancreas


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MRCP of the same patient

This patient did not have a double gallbladder, but one gallbladder and a localized cystic dilatation of the common bile duct (Choledochocele)

For more examples of Choledochoceles see

Copyright © Dr. T.S.A. Geertsma, Ziekenhuis Gelderse Vallei, Ede, The Netherlands. All rights reserved.

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