Whipple procedure in the treatment of Todani type IVa bile duct cyst. A case report

Background: Introduction: Congenital bile duct dilation is a lesions that can be extrahepatic, intrahepatic, or both. There is a predominance in the female population. The Todani's classification has become the basic classification system, with type I being the most common, of all bile duct cysts, generally the most of cases are infants and young children. In bile duct cysts, resection is justified to prevent future malignant tumors and complications. Case Report: We present the case of a male young of 16 years old who presented to the hospital with important increase in abdominal perimeter, intermittent pain and jaundice, and with help of studies of imaging is identified a giant atypical bile duct cyst and we decided to give surgical treatment Conclusion: Due to the risk of infection or malignancy, the principle of treatment is bile duct resection with bilio-digestive reconstruction, but the age of this patient made this procedure more complex