Abstract

A congenital cystic dilatation of the bile duct is called a choledochal cyst; it may involve the extrahepatic, intrahepatic, or both biliary radicles. It is an uncommon illness that affects people more frequently in developing nations. We describe a highly uncommon case of a male newborn who has Type IV-A choledochal cyst. The denitive diagnosis was made based on magnetic resonance cholangiopancreatography (MRCP) which showed left sided dilated intrahepatic biliary radicals with fusiform dilatation of common bile duct (CBD) and common hepatic duct (CHD). The decision to follow up with a subsequent surgical plan was taken because there were no complications and the bilirubin level returned to normal after conservative treatment.

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