Choledochal cysts are congenital bile duct anomalies. These cystic dilatations of the biliary tree can involve the extrahepatic biliary radicles, the ...ForYouNews&PerspectiveDrugs&DiseasesCME&EducationAcademyVideoDecisionPointEdition:ENGLISHDEUTSCHESPAÑOLFRANÇAISPORTUGUÊSLogInSignUpIt'sFree!Edition:ENGLISHDEUTSCHESPAÑOLFRANÇAISPORTUGUÊSRegisterLogInNoResultsNoResultsForYouNews&PerspectiveDrugs&DiseasesCME&EducationAcademyVideoDecisionPointclosePleaseconfirmthatyouwouldliketologoutofMedscape.Ifyoulogout,youwillberequiredtoenteryourusernameandpasswordthenexttimeyouvisit.LogoutCancelhttps://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTcyMDk5LW92ZXJ2aWV3processing....Drugs&Diseases>GastroenterologyCholedochalCystsUpdated:Jul01,2020Author:EmilyTommolino,MD;ChiefEditor:BSAnand,MD more...ShareEmailPrintFeedbackCloseFacebookTwitterLinkedInGoogle+SectionsCholedochalCystsSectionsCholedochalCystsOverviewPracticeEssentialsBackgroundPathophysiologyEpidemiologyPrognosisShowAllPresentationDDxWorkupLaboratoryStudiesImagingStudiesHistologicFindingsShowAllTreatmentApproachConsiderationsMedicalCareSurgicalCareShowAllQuestions&AnswersMediaGalleryReferencesOverviewPracticeEssentialsCholedochalcystsarecongenitalbileductanomalies(seetheimagebelow).Thesecysticdilatationsofthebiliarytreecaninvolvetheextrahepaticbiliaryradicles,theintrahepaticbiliaryradicles,orboth.Computedtomography(CT)scanofacholedochalcystinvolvingthecommonhepaticduct.ViewMediaGallerySignsandsymptomsInfantswithcholedochalcystscanpresentdramaticallywiththefollowing:Jaundiceandacholicstools:Inearlyinfancy,maypromptworkupforbiliaryatresiaPalpablemassintherightupperquadrantoftheabdomen,withhepatomegalyTheclinicalmanifestationsinolderchildrenandadultsarevariable.Childrendiagnosedwithcholedochalcystsafterinfancytypicallypresentwithintermittentbiliaryobstructionorrecurrentboutsofpancreatitiswiththefollowingfeatures:Biliaryobstructivepa