PMC4756091_01
Ultrasound performed at three months of age revealed the cystic lesion in close relation to the duodenum (D). To the left of the duodenum the Gallbladder (GB) can be seen, as well as the superior mesenteric artery (SMA) to the right.
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At the age of 3 months a cystic formation was noted located in the pancreatic head on abdominal ultrasound measuring 1.2 x 1.5 cm. (Fig. 1).
3D-reconstruction of MRCP showing the cystic lesion in close proximity to the duodenal anastomosis, the pancreatic duct and the common bile duct (CBD). GB...gallbladder.
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MCRP confirmed a choledochocele type III according to Todani et al. inside the pancreatic head and just distally to the duodenal anastomosis (Fig. 2).
Intraoperative photograph showing marsupialization of the cyst providing successful drainage.
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Marsupialization of the cystic wall to the dorsal duodenal mucosa allowed for free bile flow (Fig. 3).