Ruptured choledochal cyst during early pregnancy with successful fetomaternal outcome

BMJ Case Rep. 2018 Apr 13:2018:bcr2018224357. doi: 10.1136/bcr-2018-224357.

Abstract

Choledochal cyst is a rare congenital malformation which is usually found in young children and adolescents but can rarely present in the adult age group. It can present with several complications like cholangitis, pancreatitis, biliary cirrhosis, portal hypertension, liver abscess, malignancy and rarely spontaneous rupture (in 2% of cases) causing biliary peritonitis. A case of spontaneous rupture of choledochal cyst during second trimester of pregnancy is reported where the patient was managed by minimal surgery, peritoneal washout, placement of T-tube and planned for definitive treatment in the postpartum period. The pregnancy continued till 35 weeks with favourable fetomaternal outcome.

Keywords: biliary intervention; obstetrics, gynaecology and fertility; pregnancy.

Publication types

  • Case Reports

MeSH terms

  • Cholangiopancreatography, Magnetic Resonance
  • Cholecystectomy
  • Choledochal Cyst / complications*
  • Choledochal Cyst / diagnostic imaging
  • Choledochal Cyst / surgery
  • Common Bile Duct / diagnostic imaging
  • Conservative Treatment
  • Drainage
  • Female
  • Humans
  • Infant, Newborn
  • Liver / diagnostic imaging
  • Male
  • Peritonitis / diagnosis
  • Peritonitis / etiology*
  • Peritonitis / therapy
  • Pregnancy
  • Pregnancy Complications* / diagnostic imaging
  • Pregnancy Complications* / surgery
  • Pregnancy Outcome
  • Rupture, Spontaneous
  • Ultrasonography, Prenatal
  • Young Adult