Successful Surgical Management of a Type I Giant Choledochal Cyst in a 3-Year-Old Boy

Alhamdulillah — A Successful Surgical Outcome

We are pleased to share the successful surgical management of a 3-year-old boy diagnosed with a giant Type I choledochal cyst, measuring approximately 9 × 8 cm.

Clinical Presentation

The child presented with a 3-month history of intermittent abdominal pain, vomiting, and abdominal distension.

Investigations

A complete diagnostic workup, including MRCP, revealed a giant Type I choledochal cyst with dilatation of the common bile duct and intrahepatic biliary tree.

Surgical Management

Following complete evaluation, preoperative optimisation, and anaesthesia fitness, the child underwent:

Complete cyst excision followed by Roux-en-Y hepaticojejunostomy.

Postoperative Course

Alhamdulillah, the postoperative recovery remained uneventful.

Sips were initiated on the 3rd postoperative day.
Full oral feeds were achieved.
The child remained vitally stable.
Discharged home on the 5th postoperative day.

Conclusion

Complete excision of a choledochal cyst with biliary reconstruction is the definitive surgical treatment for Type I choledochal cysts. Early diagnosis, meticulous surgical planning, and appropriate postoperative care are essential for achieving favourable outcomes and preventing long-term complications.

A successful outcome made possible through teamwork, careful planning, and compassionate surgical care.