Related Experiment Video
Updated: Jul 20, 2026
04:14
Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
Ectopic pancreas associated with choledochal cyst and multiseptate gallbladder
Burak Bahadir1, Sukru O Ozdamar, Banu D Gun
1Department of Pathology, Zonguldak Karaelmas University, Kozlu, Zonguldak, Turkey. burakbahadir@yahoo.com
Summary
This study details a rare congenital choledochal cyst case in an infant, uniquely featuring a multiseptate gallbladder and ectopic pancreas. Surgical removal was successful, highlighting the complexity of this rare pediatric condition.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Developmental Biology
Background:
- Congenital choledochal cysts are rare pediatric biliary malformations.
- Associations with multiseptate gallbladder and ectopic pancreas are exceptionally uncommon.
Observation:
- A 15-day-old infant presented with jaundice and a suspected common bile duct cystic lesion.
- Imaging revealed a cystic lesion, prompting surgical intervention.
- The patient underwent excision of a Type I choledochal cyst and gallbladder, with liver biopsy.
Findings:
- Histopathology confirmed a Type I choledochal cyst with a multiseptate gallbladder.
- Ectopic pancreatic tissue was incidentally discovered within the choledochal cyst wall.
- The gallbladder showed papillary hyperplasia and intestinal metaplasia; liver biopsy confirmed intrahepatic bile ducts.
Implications:
- This case is the first documented instance of a choledochal cyst associated with both multiseptate gallbladder and ectopic pancreas.
- It underscores the importance of thorough histopathological examination for rare congenital anomalies.
- Understanding these complex associations aids in surgical planning and patient management.
Related Concept Videos
01:20Cholecystitis
Cholecystitis is inflammation of the gallbladder, most commonly caused by obstruction of the cystic duct. This blockage prevents bile from draining, leading to gallbladder distension, inflammation, and potentially serious complications. This condition may present acutely or chronically and can happen with or without gallstones.EtiologyAbout 95% of cholecystitis cases are calculous, caused by gallstones blocking the cystic duct, leading to bile accumulation and inflammation of the gallbladder...
01:24Chronic Pancreatitis I: Introduction
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
01:25Chronic Pancreatitis I: Introduction
Chronic pancreatitis is a long-standing, relapsing inflammation of the pancreas, characterized by irreversible damage to the gland. It results in progressive destruction of the pancreatic parenchyma, fibrosis, and eventual loss of both exocrine and endocrine function. The disease may evolve gradually after multiple episodes of acute pancreatitis or develop independently.EtiologyChronic pancreatitis can arise from a variety of causes:Alcohol use is the leading cause, accounting for 70–80% of...
01:17Gallbladder
The gallbladder is a small, pear-shaped organ that plays a crucial role in our digestive system. Measuring about 10 cm in length, it is comparable in size to a kiwi fruit and is located in a hollow area on the lower surface of the liver. The gallbladder's primary function is to store and concentrate bile, a fluid produced by the liver that aids in digestion.
The gallbladder's anatomy consists of three regions: the fundus, body, and neck. Extending from the neck, the cystic duct joins the common...
The gallbladder's anatomy consists of three regions: the fundus, body, and neck. Extending from the neck, the cystic duct joins the common...
01:21Chronic Pancreatitis II: Pathophysiology
Chronic pancreatitis is a progressive and irreversible inflammation of the pancreas, most often caused by long-term alcohol abuse, but it can also be related to ductal obstruction, smoking, or genetic factors.Chronic pancreatitis occurs when the pancreas is repeatedly exposed to harmful agents like alcohol, smoking, ductal obstruction, or genetic predisposition. These factors lead to the release of toxic metabolites and inflammatory cytokines, sustaining chronic inflammation in the pancreatic...
01:29Chronic Pancreatitis II: Collaborative Care
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment: