Initial Radiological Misdiagnosis of Choledochal Cyst in Pregnancy Leading to Unnecessary Laparotomy: The Approach to Abdomino-Pelvic Cyst and Management

Saqib Ahmed, Karthik Raghunath, Joish Upendra
In: Cureus · 2025 · vol. 17(10) , pp. e94963 · doi:10.7759/cureus.94963 · PMID:41122370 · W4415362126
article OA: diamond CC0
📄 Open PDF Full text JSON View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

A pregnant patient with misdiagnosed abdominal pain underwent unnecessary laparotomy before ultrasound-guided percutaneous drainage confirmed and stabilized a choledochal cyst, allowing for later safe delivery.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 · read from full text ⓘ

The provided text does not contain substantive information about a biomedical study, including the patient population, diagnostic approach, results, or explicit limitations. Instead, it appears to be a collection of publisher and promotional boilerplate content unrelated to the stated title about a choledochal cyst misdiagnosis in pregnancy. Because the actual paper content is missing, no key finding or caveat can be reliably extracted or summarized. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

A 20-year-old primary gravida at 26 weeks of gestation presented with acute abdominal pain. At a rural facility that she had consulted earlier, abdominal pelvic ultrasonography had suggested adnexal pathology, most likely ovarian torsion, and an exploratory laparotomy had been performed. No adnexal pathology had been found, and the procedure had been abandoned. The patient was transferred to our center in hemodynamic instability. Repeat ultrasonography identified a large right subhepatic cystic lesion with differentials including choledochal cyst (CC), benign retroperitoneal cyst, and ovarian/paraovarian cyst. MRIs subsequently confirmed a giant right upper quadrant cyst compressing hepatobiliary structures, correlating with the development of clinical jaundice. This clarified the etiology and eliminated the need for further unnecessary gynecologic surgery. The patient was managed with ultrasound-guided percutaneous drainage, which safely decompressed the biliary system, relieved mass effect, and reduced rupture risk in the context of high maternal-fetal surgical risk. The intervention stabilized the patient, facilitated definitive cyst excision before normal vaginal delivery at 36+6 weeks. Based on this experience and a review of the relevant literature, we suggest that in selected cases of undifferentiated abdomino-pelvic cysts during pregnancy, particularly in resource-limited or emergency settings without access to advanced imaging, ultrasound-guided percutaneous drainage may be a valuable diagnostic and temporizing measure. This approach can safely bridge patients to definitive management and may help avoid unnecessary laparotomy.
Full text 793 characters · extracted from oa-doi-fallback · click to expand
Offering a variety of advertising and sponsorship options for reaching influential specialists from targeted demographic splits. Cureus provides an equitable, efficient publishing and peer reviewing experience without sacrificing publication times. Generate broad awareness and deliver relevant, peer-reviewed clinical experiences directly to potential customers. Dedicated Cranial Radiosurgery: Clinical Experience with New & Innovative SRS Technologies Sponsored by Zap Surgical Systems Real-Time Adaptive Motion Management on Helical and Robotic RT Platforms Sponsored by Accuray, Inc. Cureus Journal of Medical Science Please note that by doing so you agree to be added to our monthly email newsletter distribution list. By joining Cureus, you agree to our Privacy Policy and Terms of Use.

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

⚙ Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback ⓘ

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Citation neighborhood (sparse)

Too few in-corpus citations on either side for a chart; here are the lists.

Cites (1)

References (29)

Source provenance

openalex
last seen: 2026-05-14T06:28:48.312192+00:00
License: CC0 · commercial use OK