• Muhammad Arslan Farooq, Sabeen Abid Khan, and Munir Iqbal Malik.
• Dr. Muhammad Arslan Farooq, MBBS, FCPS (Pediatrics). Senior Registrar, Pediatrics, Shifa Tameer-e-Millat University (Shifa College of Medicine)/ Shifa International Hospital, Islamabad, Pakistan.
• Pak J Med Sci. 2023 Mar 1; 39 (2): 456459456-459.

ObjectivesThis study was done to compare the clinical features, laboratory findings and surgical outcomes of pediatric patients with choledochal cysts.MethodsRetrospective review of the hospital records of all pediatric patients admitted with choledochal cysts from 2011 to 2021 were collected and analyzed. Patients were divided into two groups; infant (less than one year age) and pediatric (1 to 16 years) for statistical comparison of two groups.ResultThe study included 34 children, 9 (26.5%) were infant (<1 year) and 25 (73.5%) were more than one year old. Mean age at diagnosis was 15 months with age ranging from 14 days to 16 years. Females were 19 (55.9%) and males were 15 (44.1%). Type-I choledochal cyst was the most common (73.5%), presentation followed by Type-IVA (26.5%) in our patients. Patients from infant group presented with jaundice in 7 (77.7%), and clay-colored stool in 3 (33.3%) as the most common clinical features, while abdominal pain (88%), vomiting (72%), fever (32%) and pancreatitis (32%) were the frequent presentations among older age group. Post-surgical complications of excision of choledochal cyst were observed in 4 (11.7%) patients.ConclusionCholedochal cysts have variable presentations depending upon age of the patients. Complete surgical excision of choledochal cyst is the treatment modality of choice and timely surgical management can prevent complications.Copyright: © Pakistan Journal of Medical Sciences.

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