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Updated: Aug 23, 2026

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
04:14

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults

Published on: February 28, 2025

Spontaneous perforation--a rare complication of choledochal cyst

Gajanan D Wagholikar1, Kamal Chetri, Surinder K Yachha

  • 1Department of Surgical Gastroenterology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Raebareli Road, Lucknow.

Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology
|July 15, 2004
PubMed

Insights

A rare case of spontaneous choledochal cyst perforation in a 2-year-old girl was diagnosed using hepatobiliary scintigraphy. Treatment involved emergency lavage and drainage, followed by surgical cyst excision and Roux-en-Y reconstruction.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Diagnostic Imaging

Background:

  • Choledochal cysts are congenital biliary dilatations.
  • Spontaneous perforation is a rare but serious complication.
  • Early diagnosis and management are crucial.

Observation:

  • A 2-year-old girl presented with spontaneous choledochal cyst perforation and bile peritonitis.
  • Hepatobiliary scintigraphy enabled accurate preoperative diagnosis.
  • The emergency presentation necessitated immediate intervention.

Findings:

  • A staged surgical approach was employed.
  • Initial management included peritoneal lavage and T-tube biliary drainage.
  • Definitive treatment involved cyst excision and Roux-en-Y hepatico-jejunostomy three months later.

Implications:

  • This case highlights the utility of hepatobiliary scintigraphy in diagnosing choledochal cyst perforation.
  • A staged surgical management strategy can be effective for emergency presentations.
  • Successful outcomes underscore the importance of timely surgical intervention for pediatric biliary emergencies.

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