{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T06:10:22Z","timestamp":1756275022297,"version":"3.44.0"},"reference-count":20,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,6,16]]},"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:p>Choledochal cysts are dilations of the biliary tree that cause a variety of clinical symptoms and can lead to several types of complications. Choledochal cysts are most commonly diagnosed in childhood and frequently present with abdominal pain, jaundice and, in infants, an abdominal mass. Although the most concerning complication is malignant transformation of the cyst epithelium, other complications such as stone formation, acute pancreatitis and stricture can also occur and lead to patient morbidity. Treatment is aimed at not only relieving patient symptoms, but also decreasing a long-term cancer risk. We present a case of a child presenting with abdominal pain and vomiting secondary to a type IVa choledochal cyst complicated by acute pancreatitis, a common bile duct stricture and cystolithiasis.<\/jats:p>","DOI":"10.1136\/bcr-2020-234966","type":"journal-article","created":{"date-parts":[[2020,7,9]],"date-time":"2020-07-09T02:15:26Z","timestamp":1594260926000},"page":"e234966","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Strictures, stones and cysts: an unusual cause of pancreatitis in a 20-month-old female child"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7622-2270","authenticated-orcid":false,"given":"Alina","family":"Zufall","sequence":"first","affiliation":[{"name":"University of Virginia School of Medicine, Charlottesville, Virginia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeremy P","family":"Middleton","sequence":"additional","affiliation":[{"name":"Pediatric Gastroenterology, University of Virginia Health System, Charlottesville, Virginia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Rasmussen","sequence":"additional","affiliation":[{"name":"Pediatric Surgery, University of Virginia Health System, Charlottesville, Virginia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reza J","family":"Daugherty","sequence":"additional","affiliation":[{"name":"Department of Radiology and Medical Imaging, University of Virginia Health System, Charlottesville, Virginia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,7,8]]},"reference":[{"key":"2025082622434798000_13.7.e234966.1","unstructured":"McDermott KW , Freeman WJ . 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Oxford; Boston: Butterworth-Heinemann, 1991: 78\u201390."},{"key":"2025082622434798000_13.7.e234966.4","first-page":"1","article-title":"Congenital choledochal cyst, with a report of 2, and an analysis of 94, cases","volume":"108","author":"Alonso-Lej","year":"1959","journal-title":"Int Abstr Surg"},{"key":"2025082622434798000_13.7.e234966.5","doi-asserted-by":"crossref","first-page":"1897","DOI":"10.1016\/j.jpedsurg.2012.12.038","article-title":"Pancreatic complications in pediatric choledochal cysts","volume":"48","author":"Fujishiro","year":"2013","journal-title":"J Pediatr Surg"},{"key":"2025082622434798000_13.7.e234966.6","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1746.2007.04936.x"},{"key":"2025082622434798000_13.7.e234966.7","doi-asserted-by":"crossref","first-page":"568","DOI":"10.5811\/westjem.2015.4.25407","article-title":"Choledochal cyst mimicking gallbladder with stones in a six-year-old with right-sided abdominal pain","volume":"16","author":"Subramony","year":"2015","journal-title":"WestJEM"},{"key":"2025082622434798000_13.7.e234966.8","first-page":"127","article-title":"Choledochal cyst and biliary stone","volume":"30","author":"Saeed","year":"2018","journal-title":"Journal of Ayub Medical College"},{"key":"2025082622434798000_13.7.e234966.9","first-page":"231","article-title":"Congenital choledochal cysts: new etiological concept based on anomalous relationships of the common bile duct and pancreatic bulb]","volume":"12","author":"Babbitt","year":"1969","journal-title":"Ann Radiol"},{"key":"2025082622434798000_13.7.e234966.10","doi-asserted-by":"crossref","first-page":"145","DOI":"10.4236\/ojgas.2012.24029","article-title":"Recent advances in choledochal cysts","volume":"02","author":"Tadokoro","year":"2012","journal-title":"Open J Gastroenterol"},{"key":"2025082622434798000_13.7.e234966.11","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1007\/s00261-006-9057-4","article-title":"Acute pancreatitis and a long common channel","volume":"32","author":"Kamisawa","year":"2007","journal-title":"Abdom Imaging"},{"key":"2025082622434798000_13.7.e234966.12","doi-asserted-by":"crossref","unstructured":"Drabek J , Keil R , Stovicek J , et al . The role of endoscopic retrograde cholangiopancreatography in choledochal cysts and\/or abnormal pancreatobiliary junction in children. 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