Complicated Cases in GI

Anthony Kalloo, MD; Jonathan M. Buscaglia, MD

Chapter 38: Biliary Drainage Through The Minor Papilla (continued)

Samuel Giday, MD

A 16-year-old woman was found to have cystic dilation of the distal common bile duct on a computed tomography (CT) scan of the abdomen and pelvis. One month prior, she experienced acute onset epigastric abdominal pain radiating to the right lower quadrant while vacationing in the Galapagos Islands. A presumptive diagnosis of appendicitis was made. Appendectomy was performed in Ecuador. Evaluation during that time also showed the presence of a possible type III choledocal cyst, or choledococele. When she returned from Ecuador she continued to have abdominal pain. Further evaluation in the…