Type IV-a choledocal cyst - A rare adolescent presentation as acute abdomen

Ramadass Satya, Vani Vijayakumar

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

A 17-year-old adolescent girl from El Salvador presented to the emergency room (ER) with severe abdominal pain associated with one episode of nausea and vomiting. The pain that started 5 days earlier was sharp in nature and epigastric in location with radiation to back and was relieved by half a tablet of Vicodin. The patient has a history of intermittent epigastric pain for the past 2 years and was treated for Helicobacter pylori for 1 year. In the ER, the serum chemistry demonstrated elevated amylase. Further workup with abdominal ultrasonography (US), computed tomography (CT), magnetic resonance cholangiopancreatography (MRCP), and hepatobiliary scintigraphy confirmed a type IV-a choledocal cyst with intra- and extrahepatic dilation of bile ducts. We report an unusual acute abdomen presentation of type IV-a choledochal cyst in a 17-year-old young adult from El Salvador.

Original languageEnglish (US)
Pages (from-to)39-41
Number of pages3
JournalEmergency Radiology
Volume13
Issue number1
DOIs
StatePublished - Sep 2006
Externally publishedYes

Fingerprint

El Salvador
Acute Abdomen
Hospital Emergency Service
Cysts
Magnetic Resonance Cholangiopancreatography
Choledochal Cyst
Extrahepatic Bile Ducts
Pain
Amylases
Helicobacter pylori
Radionuclide Imaging
Nausea
Abdominal Pain
Tablets
Vomiting
Dilatation
Young Adult
Ultrasonography
Tomography
Radiation

Keywords

  • Adolescence
  • CT
  • Hepatobiliary scan
  • MRCP
  • Type IV-a choledocal cyst

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Type IV-a choledocal cyst - A rare adolescent presentation as acute abdomen. / Satya, Ramadass; Vijayakumar, Vani.

In: Emergency Radiology, Vol. 13, No. 1, 09.2006, p. 39-41.

Research output: Contribution to journalArticle

Satya, Ramadass ; Vijayakumar, Vani. / Type IV-a choledocal cyst - A rare adolescent presentation as acute abdomen. In: Emergency Radiology. 2006 ; Vol. 13, No. 1. pp. 39-41.
@article{a7d1dd059fe84252b98e549886cf04f6,
title = "Type IV-a choledocal cyst - A rare adolescent presentation as acute abdomen",
abstract = "A 17-year-old adolescent girl from El Salvador presented to the emergency room (ER) with severe abdominal pain associated with one episode of nausea and vomiting. The pain that started 5 days earlier was sharp in nature and epigastric in location with radiation to back and was relieved by half a tablet of Vicodin. The patient has a history of intermittent epigastric pain for the past 2 years and was treated for Helicobacter pylori for 1 year. In the ER, the serum chemistry demonstrated elevated amylase. Further workup with abdominal ultrasonography (US), computed tomography (CT), magnetic resonance cholangiopancreatography (MRCP), and hepatobiliary scintigraphy confirmed a type IV-a choledocal cyst with intra- and extrahepatic dilation of bile ducts. We report an unusual acute abdomen presentation of type IV-a choledochal cyst in a 17-year-old young adult from El Salvador.",
keywords = "Adolescence, CT, Hepatobiliary scan, MRCP, Type IV-a choledocal cyst",
author = "Ramadass Satya and Vani Vijayakumar",
year = "2006",
month = "9",
doi = "10.1007/s10140-006-0515-7",
language = "English (US)",
volume = "13",
pages = "39--41",
journal = "Emergency Radiology",
issn = "1070-3004",
publisher = "Springer New York",
number = "1",

}

TY - JOUR

T1 - Type IV-a choledocal cyst - A rare adolescent presentation as acute abdomen

AU - Satya, Ramadass

AU - Vijayakumar, Vani

PY - 2006/9

Y1 - 2006/9

N2 - A 17-year-old adolescent girl from El Salvador presented to the emergency room (ER) with severe abdominal pain associated with one episode of nausea and vomiting. The pain that started 5 days earlier was sharp in nature and epigastric in location with radiation to back and was relieved by half a tablet of Vicodin. The patient has a history of intermittent epigastric pain for the past 2 years and was treated for Helicobacter pylori for 1 year. In the ER, the serum chemistry demonstrated elevated amylase. Further workup with abdominal ultrasonography (US), computed tomography (CT), magnetic resonance cholangiopancreatography (MRCP), and hepatobiliary scintigraphy confirmed a type IV-a choledocal cyst with intra- and extrahepatic dilation of bile ducts. We report an unusual acute abdomen presentation of type IV-a choledochal cyst in a 17-year-old young adult from El Salvador.

AB - A 17-year-old adolescent girl from El Salvador presented to the emergency room (ER) with severe abdominal pain associated with one episode of nausea and vomiting. The pain that started 5 days earlier was sharp in nature and epigastric in location with radiation to back and was relieved by half a tablet of Vicodin. The patient has a history of intermittent epigastric pain for the past 2 years and was treated for Helicobacter pylori for 1 year. In the ER, the serum chemistry demonstrated elevated amylase. Further workup with abdominal ultrasonography (US), computed tomography (CT), magnetic resonance cholangiopancreatography (MRCP), and hepatobiliary scintigraphy confirmed a type IV-a choledocal cyst with intra- and extrahepatic dilation of bile ducts. We report an unusual acute abdomen presentation of type IV-a choledochal cyst in a 17-year-old young adult from El Salvador.

KW - Adolescence

KW - CT

KW - Hepatobiliary scan

KW - MRCP

KW - Type IV-a choledocal cyst

UR - http://www.scopus.com/inward/record.url?scp=33748957936&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33748957936&partnerID=8YFLogxK

U2 - 10.1007/s10140-006-0515-7

DO - 10.1007/s10140-006-0515-7

M3 - Article

C2 - 16909261

AN - SCOPUS:33748957936

VL - 13

SP - 39

EP - 41

JO - Emergency Radiology

JF - Emergency Radiology

SN - 1070-3004

IS - 1

ER -