Choledochal Cyst
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Choledochal cyst

What is Choledochal Cyst?

Choledochal cysts are congenital bile duct anomalies characterized by abnormal dilations of the bile ducts. These cysts can lead to serious complications, including bile duct obstruction, infections, stone formation, and even malignancy if left untreated. Early diagnosis and appropriate surgical intervention are crucial for optimal patient outcomes.

Choledochal cyst

Causes & Risk Factor of Choledochal Cyst

  • Congenital Abnormalities – Most cases are present from birth due to improper bile duct development.

  • Bile Flow Obstruction – Leads to bile stasis and ductal dilatation.

  • Genetic Predisposition – Family history may play a role.

  • Abnormal Pancreaticobiliary Junction – Causes reflux of pancreatic enzymes into the bile ducts.

Symptoms of Choledochal Cyst

  • Jaundice (yellowing of skin and eyes)

  • Abdominal pain, especially in the upper right quadrant

  • Nausea and vomiting

  • Palpable mass in the abdomen

  • Fever and recurrent cholangitis (bile duct infections)

  • Dark urine and pale stools

Diagnosis

Dr. Vikram Lotwala utilizes advanced diagnostic tools to confirm the presence of a choledochal cyst:

  • Ultrasound (USG) – Initial imaging to detect bile duct dilation.

  • Magnetic Resonance Cholangiopancreatography (MRCP) – Provides a detailed view of the bile ducts.

  • CT Scan – Helps assess complications like stones or malignancy.

  • Endoscopic Retrograde Cholangiopancreatography (ERCP) – Evaluates bile duct anatomy and function.

Treatment Options

Surgical Management

  • Complete Excision of the Cyst – The preferred treatment to prevent complications and malignancy.

  • Hepaticojejunostomy (Roux-en-Y Reconstruction) – A procedure to restore bile flow after cyst removal.

  • Laparoscopic Surgery – Minimally invasive approach for faster recovery and reduced postoperative pain.

Post-Surgical Care & Follow-Up

  • Regular monitoring for liver function and bile duct health.

  • Long-term follow-up to rule out complications such as bile reflux or malignancy.

Why Choose Dr. Vikram Lotwala?

Dr. Vikram Lotwala specializes in hepatobiliary surgery and offers expert management of choledochal cysts. With state-of-the-art technology and a patient-centric approach, he ensures safe and effective surgical outcomes.

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    Early intervention is key to preventing serious complications associated with choledochal cysts. Contact Dr. Vikram Lotwala today for expert diagnosis and treatment.