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Updated: Aug 7, 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

An adult choledochocele case presented with gastric outlet obstruction: a rare presentation

Mehmet Fatih Can1, Nihat Kaymakçioğlu, Gökhan Yağci

  • 1Department of General Surgery, Gülhane Military Medical Academy, Ankara, Turkey. mfcan@gata.edu.tr

The Turkish Journal of Gastroenterology : the Official Journal of Turkish Society of Gastroenterology
|July 11, 2006
PubMed

Insights

Bile duct cysts are rare in adults but can cause duodenal obstruction. Transduodenal cyst excision effectively treated a type III biliary tract cyst in an adult male, resolving his symptoms.

Area of Science:

  • Gastroenterology and Hepatology
  • Surgical Case Reports

Background:

  • Bile duct cysts (BDCs) are congenital biliary tract diseases, more prevalent in children than adults.
  • Classical BDC presentation includes abdominal pain, jaundice, and abdominal mass, but complications like cholangitis, pancreatitis, and duodenal obstruction can occur.

Observation:

  • An adult male presented with abdominal pain, nausea, and vomiting, indicative of potential duodenal obstruction.
  • The patient was diagnosed with a type III biliary tract cyst.

Findings:

  • An endoscopic approach for treatment failed.
  • Transduodenal cyst excision was successfully performed during surgery.
  • The patient experienced significant symptom relief post-surgery with no observed complications.

Implications:

  • Transduodenal cyst excision is a viable surgical option for type III biliary tract cysts causing duodenal obstruction in adults.
  • This case highlights the importance of considering BDCs in adult patients presenting with obstructive symptoms.
  • Early surgical intervention can lead to favorable outcomes in complex BDC cases.

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