Unsuspected choledochal cyst during laparoscopic cholecystectomy

Cystic dilation of the extrahepatic bile ducts is rarely encountered during elective biliary surgery planned for different indications. We report here on a patient with unremarkable preoperative workup and normal intraoperative anatomy of the cystic pedicle in whom a type I choledochal cyst containi...

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Bibliographic Details
Published in:Surgical endoscopy 1995-10, Vol.9 (10), p.1127-1129
Main Authors: PIETRABISSA, A, BOGGI, U, DI CANDIO, G, GIULIANOTTI, P. C, SARTONI, G, MOSCA, F
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Cholangiography
Cholecystectomy, Laparoscopic
Choledochal Cyst - diagnostic imaging
Choledochal Cyst - surgery
Cholelithiasis - diagnostic imaging
Cholelithiasis - surgery
Female
Humans
Intraoperative Period
Liver, biliary tract, pancreas, portal circulation, spleen
Medical sciences
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
Ultrasonography
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Description
Summary:Cystic dilation of the extrahepatic bile ducts is rarely encountered during elective biliary surgery planned for different indications. We report here on a patient with unremarkable preoperative workup and normal intraoperative anatomy of the cystic pedicle in whom a type I choledochal cyst containing a large stone was detected by the combined use of laparoscopic contact ultrasonography and intraoperative cholangiography. This case report highlights the importance of intraoperative imaging modalities of the ductal system not only in preventing iatrogenic injuries and their related complications, but also in detecting unsuspected associated biliary pathology which might significantly change the course of surgical intervention.
ISSN:0930-2794
1432-2218
DOI:10.1007/BF00189003