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Updated: Jul 4, 2026

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

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

Published on: February 28, 2025

Abdominal neurenteric cyst.

Radoje Colović¹, Marjan Micev, Miodrag Jovanović

¹Clinical Center of Serbia, Institute for Digestive Diseases, Belgrade 11000, Serbia.

World Journal of Gastroenterology

|July 3, 2008

Summary

This summary is machine-generated.

Neurenteric cysts are rare congenital anomalies. This case highlights an abdominal neurenteric cyst in an adult without spinal abnormalities, successfully treated with complete excision.

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Area of Science:

Developmental Biology
Gastroenterology
Pathology

Background:

Neurenteric cysts are rare congenital anomalies arising from incomplete notochord-foregut separation.
Typically found in the thorax, they can occur along the spine and are often associated with spinal or gastrointestinal issues.

Observation:

A 24-year-old woman presented with epigastric pain, nausea, vomiting, fever, and leukocytosis.
Imaging revealed a large cystic mass in the pancreas, a recurrence after previous cystgastrostomy.
The patient had no spinal abnormalities.

Findings:

Histopathology showed a cyst with primitive gastric and respiratory epithelium, neuroglial tissue, and other mesenchymal elements.
Immunohistochemistry confirmed neurogenic and epithelial markers, with no cartilaginous tissue.
This is the first reported case of an abdominal neurenteric cyst without associated spinal anomalies.

Implications:

This case expands the known clinical spectrum and locations of neurenteric cysts.
It underscores the importance of considering neurenteric cysts in adult abdominal masses, even without spinal involvement.
Complete surgical excision offers a favorable prognosis.