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Choledochal Cyst with Annular Pancreas

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

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Choledochal Cyst with Annular Pancreas

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  1. Choledochal Cyst with Annular Pancreas

  2. 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

  3. Imaging

  4. Exposure

  5. Annular Pancreas Annular pancreas Duodenum Liver

  6. CDC Excision Intrapancreatic dissection Intrapancreatic excision

  7. Upper margin & Reconst. RYHJ

  8. 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

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