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Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
Chylous cyst formation following laparoscopic fundoplication
Heinz F Wykypiel1, Raimund Margreiter
1Clinical Department of General and Transplant Surgery, Medical University Innsbruck, Austria. heinz.wykypiel@uibk.ac.at
Wiener Klinische Wochenschrift
|December 25, 2007
Summary
This case study reports the first instance of an abdominal chylous cyst forming after laparoscopic fundoplication surgery. Surgical intervention, including cystojejunostomy, successfully resolved the rare complication.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Abdominal Surgery
Background:
- Abdominal chylous cysts are rare, typically post-surgical complications.
- Laparoscopic fundoplication is a common anti-reflux procedure.
Observation:
- A patient developed abdominal pain years after laparoscopic fundoplication.
- Imaging revealed a cystic formation, initially misidentified.
- The cyst grew, causing significant symptoms and weight loss.
Findings:
- The cyst's fluid analysis confirmed it as a chylous cyst.
- Initial drainage provided temporary relief.
- A subsequent Roux-en-Y cystojejunostomy achieved a definitive solution.
Implications:
- Laparoscopic fundoplication can, rarely, lead to chylous cyst formation.
- Cystojejunostomy is an effective treatment for refractory cases.
- This highlights the importance of considering rare complications after common procedures.
