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All Journal Medicina E-Jurnal Medika Udayana Sari Pediatri Paediatrica Indonesiana Indonesian Journal for Health Sciences (IJHS) ISM (Intisari Sains Medis) : Jurnal Kedokteran Archives of Pediatric Gastroenterology, Hepatology, and Nutrition Eduvest - Journal of Universal Studies
I Gusti Ngurah Sanjaya Putra
Departemen Ilmu Kesehatan Anak Fakultas Kedokteran Universitas Udayana RS Sanglah, Denpasar
Aerospace Engineering Biochemistry, Genetics & Molecular Biology Computer Science & IT Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences

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Choledochal Cyst Todani Classification Type IC and Choledocholithiasis Presenting as Recurrent Pancreatitis in a 7-Year-Old Girl – A Case Report Della Sabrina Marta; I Putu Gede Karyana; I Gusti Ngurah Sanjaya Putra; Ni Nyoman Metriani Nesa; Ketut Dewi Kumara Wati; Kadek Deddy Ariyanta
Archives of Pediatric Gastroenterology, Hepatology, and Nutrition Vol. 5 No. 1 (2026): APGHN Vol. 5 No. 1 February 2026
Publisher : The Indonesian Society of Pediatric Gastroenterology, Hepatology, and Nutrition

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58427/apghn.5.1.2026.28-36

Abstract

Background: Choledochal cyst is an uncommon but important cause of biliary pathology in the pediatric population which can lead to choledocholithiasis and recurrent pancreatitis. High clinical suspicion, comprehensive imaging, and multidisciplinary evaluation are essential for accurate diagnosis and treatment. Definitive management is achieved through surgical intervention. Case: A 7-year-old girl experienced recurrent postprandial right upper quadrant and epigastric pain for three years, with fluctuating pancreatic and hepatic enzymes. Initial ultrasound and magnetic resonance cholangiopancreatography (MRCP) revealed ductal dilatation with biliary sludge, while multislice computed tomography (MSCT) suggested autoimmune pancreatitis, leading to temporary steroid response. Symptoms persisted, and contrast-enhanced magnetic resonance imaging (MRI) demonstrated fusiform common bile duct dilatation with debris, confirming Todani type IC choledochal cyst and choledocholithiasis. She underwent laparoscopic cyst and gallbladder excision with Roux-en-Y hepaticojejunostomy. Intraoperative and histological findings verified sludge, gallstones, and chronic cholecystitis. Discussion: Choledochal cysts should be considered in pediatric recurrent pancreatitis, particularly with biliary obstruction. Advanced imaging and differential diagnosis are crucial. Surgical excision with biliary reconstruction is the treatment of choice. Conclusion: Early recognition and timely surgical intervention are essential to prevent long-term complications.
Co-Authors Abdul Hamid Agung Bagus S. Satyarsa Agus Firmansyah Aswitha D Boediarso Badriul Hegar Bagus Ngurah Putu Arhana Carissa Lidia Defranky Theodorus Della Sabrina Marta Desa Putu Rendang Indriyani Dewi, Ni Nyoman Gita Kharisma Dyah Kanya Wati Eka Gunawijaya Eva Jacomina Jemima Sapulete Fatima Safira Alatas, Fatima Safira Gusti Ayu Putu Nilawati Haning, Joy Aprianis Hendra Santoso Hendra Santoso I Gede Ketut Aryana, I Gede Ketut I Gusti Agung Trisna Windiani I Gusti Istri Agung Widnyani I Gusti Lanang Sidiartha I Gusti Ngurah Made Suwarba I Ketut Nomor Aryasa I Made Arimbawa I Made Darmajaya I Made Pramana Dharmatika I Nyoman Budi Hartawan I Nyoman Semadi I Putu Gede Karyana I Wayan Dharma Artana I Wayan Gustawan Ida Bagus Gede Suparyatha Ida Bagus Subanada Jefry Gilberth Koibur Kadek Deddy Ariyanta Kadek Deddy Ariyanta Ketut Ariawati Ketut Dewi Kumara Wati Komang Ayu Witarini Luh Putu Diah Virayanti Made Darmajaya Made Gede Dwi Lingga Utama Made Suadnyani Pasek Muhammad Reza Muzal Kadim Nesa, Ni Nyoman Metriani Ni Nyoman Metriani Nesa Ni Putu Veny Kartika Yanti NP Veny Kartika Yantie Putu Diah Pratiwi Sihombing, Rina Margareth Sudaryat Suraatmaja Suparyatha, Ida Bagus Gede Suwananta, I Made