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A case of a 24-year-old male with jaundice andepigastric pain is reported.The patient underwent athorough clinical,laboratory,and imaging investigation.Computerized tomography revealed a 9 cm×10 cmcholedochal cyst.Magnetic resonance imaging andmagnetic cholangiopancreatography were performed,during which he developed an“acute abdomen”,withradiological evidence of biliary peritoneal leak.Urgentsurgery revealed rupture of the distended malformedcommon bile duct.A peritoneal drain was instilled anda more definitive surgical procedure was accordinglyscheduled.Hepatobiliary scintigraphy following surgeryverified these findings,as well as confirmed the adequacyof the urgent surgery.A combination of radiological andnuclear medicine techniques substantially contributesto the diagnosis of choledochal cyst rupture and theadequacy of surgical intervention.
A case of a 24-year-old male with jaundice andepigastric pain is reported. The patient underwent athorough clinical, laboratory, and imaging investigations. Computerized tomography revealed a 9 cm × 10 cmcholedochal cyst. Magnetic resonance imaging and magnetic cholangiopancreatography were performed, he developed an “acute abdomen”, withradiological evidence of biliary peritoneal leak. Urgentsurgery revealed rupture of the distended malformedcommon bile duct. A peritoneal drain was instilled anda more definitive surgical procedure was accordinglycheduled.Hepatobiliary scintigraphy following surgeryverified these findings, as well as confirmed the adequacyof the urgent surgery. A combination of radiological and nuclear medicine methods substantially contributesto the diagnosis of choledochal cyst rupture and the adequacy of surgical intervention.