Choledochal cyst is a rare congenital condition seen in children, marked by an abnormal dilation or cystic swelling of the bile ducts. The bile ducts are essential for carrying bile from the liver to the gallbladder and small intestine for digestion. In the presence of a choledochal cyst, this bile flow becomes obstructed, leading to symptoms like abdominal pain, jaundice, and recurrent infections.
While this condition is present at birth, symptoms may appear in infancy, childhood, or even later. In recent years, Choledochal Cyst In Children Treatment In Delhi has advanced significantly with the adoption of minimally invasive laparoscopic surgery — providing better outcomes and faster recovery.
Understanding the Condition: What is a Choledochal Cyst?
A choledochal cyst forms due to a structural abnormality in the junction of the bile duct and the pancreatic duct. This leads to the backward flow of pancreatic enzymes into the bile duct, causing inflammation, weakening of the duct wall, and eventually cyst formation. Another contributing factor can be obstruction at the lower end of the bile duct.
The condition is rare, occurring in approximately 1 in 100,000 to 1 in 150,000 live births in Western populations. It is seen more frequently in Asia and is four times more common in girls than boys.
Symptoms of Choledochal Cyst in Children:
Although a congenital condition, choledochal cysts may remain undetected for months or years. Some cases are identified through antenatal scans.
When Symptoms Appear, They May Include:
- Persistent pain in the upper right abdomen
- Visible or palpable abdominal mass
- Yellowing of the skin and eyes (jaundice)
- Nausea and vomiting
- Fever due to repeated bile duct infections (cholangitis)
- Poor digestion or loss of appetite
If left untreated, the condition may lead to serious complications such as liver cirrhosis, portal hypertension, or even bile duct cancer in adulthood.
Types of Choledochal Cysts:
Choledochal cysts are classified based on their location and shape. The most common types include:
- Type I: Cystic dilatation of the extrahepatic bile duct (accounts for up to 90% of cases)
- Type II: A diverticulum or pouch-like outgrowth from the bile duct
- Type III: Also known as choledochocele, located inside the wall of the duodenum
- Type IV: Multiple cysts involving both intrahepatic and extrahepatic bile ducts
Accurate diagnosis is usually confirmed through imaging techniques like abdominal ultrasound, MRCP (Magnetic Resonance Cholangiopancreatography), or CT scan.
Minimally Invasive Surgery for Choledochal Cyst in Delhi:
The definitive Choledochal Cyst In Children Treatment In Delhi is surgical removal of the cyst. This prevents complications and restores normal bile flow.
Modern laparoscopic (minimally invasive) surgery is the preferred approach, especially in pediatric patients. During this procedure, the cyst is removed, and the bile duct is reconnected to the small intestine — either the duodenum or jejunum — to allow proper drainage of bile.
“Less pain, minimal scarring, and a faster return to normal activities are the key advantages of laparoscopic surgery,” says Dr. Prashant Jain, one of the leading paediatric laparoscopic surgeons in Delhi.
Using specialized instruments and a high-definition camera inserted through small incisions, the surgeon performs the entire procedure with precision and control, watching the surgical field on a video monitor.
Why Early Treatment Matters:
Early diagnosis and treatment of choledochal cysts can prevent long-term liver damage and reduce the risk of serious complications later in life. Parents should consult a qualified pediatric GI surgeon as soon as symptoms appear, especially if there is recurrent jaundice, abdominal pain, or a family history of liver disorders.
Where to Find Expert Care in Delhi:
If your child is showing symptoms suggestive of a choledochal cyst, consult a trusted pediatric surgeon for an evaluation. Choledochal Cyst In Children Treatment In Delhi is now available with advanced laparoscopic techniques in leading hospitals and specialized centers.
To know more or book a consultation with an expert like Dr. Prashant Jain, reach out to a pediatric hepatobiliary specialist in your area.
Also Visit: https://drprashantjain01.blogspot.com/2025/06/understanding-hirschsprungs-disease.html
