Laparoscopic excision of type II choledochal cyst arising from the intrapancreatic common bile duct in an adult

2020 ◽  
Vol 27 (10) ◽  
pp. 789-790
Author(s):  
Jun Suh Lee ◽  
Yoo‐Seok Yoon ◽  
Ho‐Seong Han ◽  
Junyub Kim ◽  
Boram Lee ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Choledochal Cyst ◽  
Type Ii ◽  
Laparoscopic Excision

Laparoscopic management of type VI choledochal cyst with common bile duct stone: report of a case and review of literature

2021 ◽  
Vol 14 (10) ◽  
pp. e244393
Author(s):  
G Revathi ◽  
Brijesh Kumar Singh ◽  
Yashwant Singh Rathore ◽  
Sunil Chumber
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Choledochal Cyst ◽  
Cystic Duct ◽  
Incidental Finding ◽  
Laparoscopic Approach ◽  
Biliary Colic ◽  
Type I ◽  
Laparoscopic Management ◽  
Cyst Excision

A young adult male presented with biliary colic and intermittent jaundice for 1 year. Abdomen findings were unremarkable. Routine investigations revealed a raised total bilirubin. On abdominal ultrasonography, common bile duct (CBD) dilatation with multiple stones was noted. On further imaging with magnetic resonance cholangiopancreatography, type I choledochal cyst (CDC) was suspected. A laparoscopic approach was planned. Intraoperatively, dilatation of cystic duct was noted which constitute type VI CDC. Partial malrotation of the gut and accessory right hepatic artery were also noted as incidental finding. Laparoscopic cholecystectomy with CBD exploration and removal of stones, biliary stent placement, cystic duct cyst excision and primary repair of CBD was done. Postoperatively, the patient improved symptomatically with a fall in bilirubin to normal range. We are describing the laparoscopic management of a rare case of type IV CDC which was diagnosed intraoperatively.

scholarly journals Laparoscopic excision of a Type II choledochal cyst with cystolithiasis

2021 ◽  
Vol 17 (2) ◽  
pp. 259
Author(s):  
Rekha Arcot ◽  
Arihanth Ravichandran ◽  
Anbalagan Pichaimuthu
Keyword(s):  
Choledochal Cyst ◽  
Type Ii ◽  
Laparoscopic Excision

Mixed Adenoneuroendocrine Carcinoma (MANEC) of the Distal Common Bile Duct Arising from a Choledochal Cyst

2018 ◽  
Vol 84 (2) ◽  
pp. 319-321 ◽  
Author(s):  
Imran Siddiqui ◽  
Russell C. Kirks ◽  
Amit V. Sastry ◽  
Erin H. Baker ◽  
Dionisios Vrochides ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Choledochal Cyst ◽  
Distal Common Bile Duct ◽  
Mixed Adenoneuroendocrine Carcinoma

scholarly journals Choledochal cyst of the proximal cystic duct: a taxonomical and therapeutic conundrum

2018 ◽  
Vol 100 (2) ◽  
pp. e34-e37 ◽  
Author(s):  
R Kilambi ◽  
AN Singh ◽  
KS Madhusudhan ◽  
P Das ◽  
S Pal
Keyword(s):  
Bile Duct ◽  
Choledochal Cyst ◽  
Cystic Duct ◽  
Frozen Section ◽  
Type Ii ◽  
Choledochal Cysts ◽  
Duct Excision ◽  
Term Data

Isolated choledochal cysts involving the cystic duct are rare. We present a case of a choledochal cyst involving only the proximal cystic duct, and discuss the taxonomic and therapeutic challenges. There is a need for a clearly defined classification system for these cysts as they may be categorised as either type II or type VI cysts. The optimal treatment remains debatable, with some authors recommending a bilioenteric reconstruction owing to the wide cystic duct–bile duct junction. However, we suggest that a cholecystectomy should be performed with examination of the specimen and frozen section in case of any abnormality rather than upfront bile duct excision. In addition, given the rarity of this condition and the paucity of long-term data, we recommend meticulous follow-up for development of any malignancy.

scholarly journals Case Report: Isolated Cystic Dilatation of the Cystic Duct: A Misdiagnosed Case Preoperatively

2021 ◽  
Vol 8 ◽  
Author(s):  
Jiankang Zhang ◽  
Zeming Hu ◽  
Xuan Lin ◽  
Dongliang Zhang ◽  
Hao Wang ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Bile Duct ◽  
Common Bile Duct ◽  
Choledochal Cyst ◽  
Cystic Duct ◽  
Extrahepatic Bile Duct ◽  
Cystic Dilatation ◽  
Liver Transaminase ◽  
Caudal Portion ◽  
The Common

A 33-year-old female with a mild elevation of liver transaminase was sent to the general surgery department for medical services due to upper-right abdominal pain for 2 weeks. A liquid dark area ~4 × 3 × 3 cm in size in the theoretical location of the pancreatic segment of the common bile duct was detected by abdominal CT with no enhancement of the cystic wall found in the enhanced CT scan. The patient was then diagnosed with a choledochal cyst based on the results of the radiological images preoperatively. During the operation, the isolated cystic dilatation was found in the middle part of the cystic duct, and its caudal portion was found behind the head of the pancreas and converged into the common bile duct at an acute angle and low insertion. According to the intraoperative evaluation, the female was then diagnosed with a cystic duct cyst (CDC). The surgery was converted to a laparotomy for the unclear structure and the possibility of anatomic variation of the bile duct. The caudal portion of the cystic duct was found communicated with the common bile duct with a narrow base, and the extrahepatic bile duct was not cystic. The CDC was removed in the surgery. One week later, the patient was discharged from the hospital for the disappearance of abdominal pain and normal liver transaminase and did not report any discomfort in the 1-month-long follow-up. The lessons drawn from this case were as follows: (1) the distinction between the relatively frequent choledochal cyst and the isolated CDC should always be taken in mind; (2) a surgical strategy should be given priority for an intraoperatively confirmed CDC; (3) a common bile duct exploration is recommended for patients with choledocholithiasis or jaundice.

scholarly journals Laparoscopic Choledochal Cyst Resection with Simplified Common Bile Duct Reconstruction in an Adult Population: A Case Series

2019 ◽  
Vol 12 (2) ◽  
pp. 76-82
Author(s):  
Daniel Gomez ◽  
Jean A Pulido ◽  
Ricardo Villarreal ◽  
Andres C Mendoza ◽  
Daniela Moreno ◽  
...  
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Choledochal Cyst ◽  
Adult Population ◽  
Case Series ◽  
Bile Duct Reconstruction

Spontaneous Perforation of Common Bile Duct: Abscess Formation Presenting as a Choledochal Cyst

2016 ◽  
Vol 20 (4) ◽  
pp. 254
Author(s):  
Cho Hee Kim ◽  
Dae Jung Kim ◽  
Kyoung Ah Kim ◽  
Sung Hoon Choi ◽  
Chang-Il Kwon
Keyword(s):  
Bile Duct ◽  
Common Bile Duct ◽  
Choledochal Cyst ◽  
Abscess Formation ◽  
Spontaneous Perforation
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