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Updated: Jun 17, 2026

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
Choledochal cyst with large stone cast and portal hypertension
Shivendra Singh1, Laxman Singh Kheria, Sunil Puri
1Department of Gastrointestinal Surgery, GB Pant Hospital & Maulana Azad Medical College, New Delhi, India.
Background:
Choledochal cysts in adults are more commonly associated with complications such as cystolithiasis, recurrent cholangitis, portal hypertension and malignancy, than in the pediatric age group.
Method:
We report a case of adult choledochal cyst with long-term complication of large stone cast and portal hypertension due to secondary biliary cirrhosis.
Results:
A 50-year-old patient presented with obstructive jaundice and hepatosplenomegaly. On investigation, she was diagnosed as having a choledochal cyst with large stone cast and portal hypertension. Single stage resection of the choledochal cyst with Roux-en-Y hepaticojejunostomy was done by meticulous dissection and ligation of collaterals.
Conclusion:
Single stage resection of a choledochal cyst is possible in spite of associated portal hypertension, if the portal vein is patent.
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