case_images: PMC11570900_01
case_images: Clinical sign of patient of choledochal cyst type IV.
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case_images: There are no lumps elsewhere. (Fig. 1) The patient has no history of tattoos or blood transfusions.
case_images: CT scan: sagital intra and extra hepatal duct, patients with Choledochal Cyst type IV: (A) The axial cut shows the dilation of the intra and extrahepatal ductus, (B) The axial cut shows the dilation of the intahepatal ductus, (C) The coronal cut shows the dilation of the intahepatal ductus, size of the lesion has not increased, the wall is not thickened, and the edges are regular. No masses or stones are visible. The extrahepatic bile duct is dilated, with a cystic lesion containing bile sludge, measuring approximately 6.25 x 7.14 x 12.40 cm, located in the proximal to distal common bile duct.
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case_images: The intrahepatic bile ducts are dilated (Fig. 2).
case_images: MRCP: intra and extrahepatal duct, patients with Choledochal Cyst type IV: (A) The axial cut shows the dilation of the extrahepatal ductus, (A) The axial cut shows the dilation of the extrahepatal ductus. (B) The biliary tree cut shows the dilation of the intahepatal ductus, (C) The coronal cut shows the dilation of the intahepatal ductus.
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case_images: No abnormalities were found in the pancreas, bilateral kidneys, urinary bladder, and rectum (Fig. 3).
case_images: Intrahepatal and extrahepatal ductus US, patients with Choledochal Cyst type IV (A) Ultrasound showed dilatation of intrahepatal and extrahepatal ductus, (B) doppler showed without vascularization.
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case_images: Splenomegaly was noted, while the liver and pancreatic ducts were within normal limits (Fig. 4).