Acute pancreatitis with Cullen's sign presentation in a case of mixed type I and II choledochal cyst
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Read the article on jpedsurg.org ↗Article · Jun 2019 · 1 min read
In brief
In brief
Rare case of a 3-year-old with hemorrhagic pancreatitis presenting with Cullen's sign, found to have a mixed type I and II choledochal cyst—only the fifth reported pediatric case worldwide. Imaging initially showed discordant findings between CECT and MRCP, but intraoperative assessment confirmed the mixed anatomy.
Written by the GCMD Library team from the article.
A 3 year old girl presented initially with acute severe hemorrhagic pancreatitis diagnosed by clinical features including a positive Cullen's sign and raised serum amylase. A contrast enhanced computed tomography (CECT) scan corroborated the same and also reported a type I choledochal cyst. Magnetic resonance cholangiopancreatography (MRCP) 2 months later reported a type II choledochal cyst and a persistent pseudo pancreatic cyst. Intraoperative features and close perusal of the CECT and MRCP films showed the presence of mixed type I and II choledochal cyst. The case is reported for the presence of Cullen's sign, CECT and MRCP features of a mixed type I and II choledochal cyst and successful surgical outcome. It appears to be only the fifth case of mixed type I and II choledochal cyst in world literature in the pediatric age group, following the 4 previous cases in children reported from Japan.