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Updated: Jul 18, 2026

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
Extracystic biliary carcinoma associated with anomalous pancreaticobiliary junction and cysts
Roger Noun1, Raymond Sayegh, Carla Tohme-Noun
1Department of Digestive Surgery, Hôtel-Dieu de France Hospital, Bd Alfred Naccache, Achrafieh, B.P: 166830, Beirut, Lebanon.
Abstract:
Anomalous pancreaticobiliary junction with cystic dilatation of the biliary tract is usually associated with carcinoma arising from the cyst wall. We report an extracystic location of biliary carcinoma in the presence of anomalous pancreaticobiliary junction and cysts in a patient with obstruction of the origin of the left hepatic duct who underwent hepatobiliary resection. Cholangiocarcinoma was found to have arisen in a noncystic left hepatic duct, in conjunction with cystic dilatation involving both the cystic and common bile ducts. The present case supports a relationship between anomalous pancreaticobiliary junction and biliary carcinogenesis that may affect the extracystic biliary tree.
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