Choledochal cyst with large stone cast and portal hypertension

BACKGROUND:Choledochal cysts in adults are more commonly associated with complications such as cystolithiasis,recurrent cholangitis,portal hypertension and malignancy,than in the pediatric age group.METHOD:We report a case of adult choledochal cyst with long-term complication of large stone cast and...

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Bibliographic Details
Published in:Hepatobiliary & pancreatic diseases international 2009-12, Vol.8 (6), p.647-649
Main Authors: Singh, Shivendra, Kheria, Laxman Singh, Puri, Sunil, Puri, Amrinder S, Agarwal, Anil K
Format: Article
Language:English
Subjects:
Anastomosis, Roux-en-Y
Cholangiopancreatography, Magnetic Resonance
choledochal
Choledochal Cyst - complications
Choledochal Cyst - diagnosis
Choledochal Cyst - surgery
cyst
cystolithiasis
Female
Gallstones - etiology
Gallstones - surgery
Humans
hypertension
Hypertension, Portal - etiology
Hypertension, Portal - surgery
Jejunostomy
Ligation
Liver Cirrhosis, Biliary - etiology
Liver Cirrhosis, Biliary - surgery
Middle Aged
portal
Treatment Outcome
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Summary:BACKGROUND:Choledochal cysts in adults are more commonly associated with complications such as cystolithiasis,recurrent cholangitis,portal hypertension and malignancy,than in the pediatric age group.METHOD:We report a case of adult choledochal cyst with long-term complication of large stone cast and portal hypertension due to secondary biliary cirrhosis.RESULTS:A 50-year-old patient presented with obstructive jaundice and hepatosplenomegaly.On investigation,she was diagnosed as having a choledochal cyst with large stone cast and portal hypertension.Single stage resection of the choledochal cyst with Roux-en-Y hepaticojejunostomy was done by meticulous dissection and ligation of collaterals.CONCLUSION:Single stage resection of a choledochal cyst is possible in spite of associated portal hypertension,if the portal vein is patent.
ISSN:1499-3872