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24-May-2026
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Arch Hellen Med, 43(Supplement 1), 2026, 102-108 CASE REPORT Portal hypertension secondary to choledochal cyst R.A. Prihaningtyas,1,3,4 M. Aufifillah,1,3 S.P. Budiman,2,3 B. Setyoboedi,1,3 F. Matulatan,2,3 S. Arief1,3 |
Choledochal cyst, a congenital condition in infants and children, is characterized by dilatation of the bile ducts, which manifests as jaundice, abdominal mass and abdominal pain. Choledochal cysts can lead to complications such as cirrhosis and portal hypertension. Therefore, early detection is necessary. A case of a two-year-six-month-old boy with type I choledochal cyst who underwent choledochal cyst excision at six months of age was reported. Two years later, the patient presented with esophageal variceal bleeding, splenomegaly, and hypersplenism. Severe stenosis of the main portal was observed on computed tomography (CT) angiography, along with abnormalities and thickening of the portal branch. Esophagoduodenoscopic examination showed grade II esophageal varices. The patient was diagnosed with portal hypertension secondary to the choledochal cyst. A late consequence of choledochal cysts is portal hypertension. The long-term risk of liver fibrosis and portal hypertension needs to be taken into consideration. Improving the prognosis of children with choledochal cysts requires timely preventive care.
Key words: Child liver cirrhosis, Choledochal cyst, Medicine, Portal hypertension.
