Choledochal Cyst with Annular Pancreas. History 45, Female Recurrent pain in epigastric region x 3-4 yrs Investigations: – Biochemistry: s. amylase, s.

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Choledochal Cyst with Annular Pancreas

History 45, Female Recurrent pain in epigastric region x 3-4 yrs Investigations: – Biochemistry: s. amylase, s. lipase, s. Alk.pho. Elevated s/o acute mild pancreatitis, rest NAD – USG : dilated CBD with lower end tapering and central IHBR – MRCP: type 1 choledochal cyst

Imaging

Exposure

Annular Pancreas Annular pancreas Liver Duodenum

CDC Excision Intrapancreatic excision Intrapancreatic dissection

Upper margin & Reconst. RYHJ

Post –operative course uneventful. Patient gained 6 kg wt. over 4 months. Follow up till date is excellent course with no gastric outlet obstructive symptoms