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Choledochal cyst and congenital anomalies of the pancreatico-biliary junction: the clinical findings, radiology and outcome in nine cases

Department of Radiology, University Hospital of Wales, Heath Park, Cardiff, CF4 4XW

Nine patients with choledochal cyst have been reviewed. There was a 6:3 preponderance of females. Four patients presented in adulthood. Cholangiocarcinoma developed in three patients with an interval ranging from 2 to 35 years following surgery. The predominant complaint was of abdominal pain and symptoms had been present from weeks up to 28 years. Imaging by sonography may be all that is required in the paediatric age group, but in adults further confirmation of the choledochal cyst and the associated anomalous junction of the pancreatico-biliary duct (AJPB) by direct cholangiography is recommended.

Key Words: Choledochal cyst • Anomalous pancreatico-biliary junction

Received for publication January 21, 1991. Revision received July 16, 1991. Accepted for publication August 6, 1991.

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