What are the signs and symptoms of choledochal cysts in older children and adults?

Updated: Jul 01, 2020
  • Author: Emily Tommolino, MD; Chief Editor: BS Anand, MD  more...
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Answer

The clinical manifestations in older children and adults are variable. Children diagnosed with choledochal cysts after infancy typically present with intermittent biliary obstruction or recurrent bouts of pancreatitis with the following features:

  • Biliary obstructive pattern: Palpable right upper quadrant mass and jaundice

  • Primary manifestation of pancreatitis: May pose diagnostic difficulty; patients frequently have only intermittent attacks of colicky abdominal pain (elevated amylase and lipase concentrations lead to the proper diagnostic workup)


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