Type IV-a choledocal cyst—a rare adolescent presentation as acute abdomen

A 17-year-old adolescent girl from El Salvador presented to the emergency room (ER) with severe abdominal pain associated with one episode of nausea and vomiting. The pain that started 5 days earlier was sharp in nature and epigastric in location with radiation to back and was relieved by half a tab...

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Veröffentlicht in:Emergency radiology 2006-09, Vol.13 (1), p.39-41
Hauptverfasser: Satya, Ramadass, Vijayakumar, Vani
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description A 17-year-old adolescent girl from El Salvador presented to the emergency room (ER) with severe abdominal pain associated with one episode of nausea and vomiting. The pain that started 5 days earlier was sharp in nature and epigastric in location with radiation to back and was relieved by half a tablet of Vicodin. The patient has a history of intermittent epigastric pain for the past 2 years and was treated for Helicobacter pylori for 1 year. In the ER, the serum chemistry demonstrated elevated amylase. Further workup with abdominal ultrasonography (US), computed tomography (CT), magnetic resonance cholangiopancreatography (MRCP), and hepatobiliary scintigraphy confirmed a type IV-a choledocal cyst with intra- and extrahepatic dilation of bile ducts. We report an unusual acute abdomen presentation of type IV-a choledochal cyst in a 17-year-old young adult from El Salvador.[PUBLICATION ABSTRACT]
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subjects Cysts
Helicobacter pylori
Medical diagnosis
Pancreas
title Type IV-a choledocal cyst—a rare adolescent presentation as acute abdomen
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