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Updated: Jun 8, 2026
04:14
Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
Choledochal cyst and systemic lupus erythematosus.
Go Miyano1, Takuo Hayashi, Atsushi Arakawa
1Department of Pediatric General & Urogenital Surgery, Juntendo University School of Medicine, Bunkyo-ku, Tokyo, 113-8421, Japan. go1993@hotmail.co.jp
Pediatric Surgery International
|September 21, 2010
Summary
A rare case of choledochal cyst in a 16-year-old with systemic lupus erythematosus (SLE) was successfully treated with surgery. The patient recovered well despite complications, highlighting a unique clinical presentation.
Area of Science:
- Pediatric Surgery
- Autoimmune Diseases
- Gastroenterology
Background:
- Systemic lupus erythematosus (SLE) is a chronic autoimmune disease affecting multiple organ systems.
- Choledochal cysts are congenital dilations of the bile ducts, rare in adolescents.
- Management of SLE requires immunosuppression, often with high-dose corticosteroids, posing surgical risks.
Observation:
- A 16-year-old female with known central nervous system (CNS) lupus presented with a choledochal cyst.
- High-dose steroid therapy for CNS lupus was ongoing at the time of diagnosis.
- Surgical intervention for the choledochal cyst was performed under steroid cover.
Findings:
- The patient underwent surgical management for the choledochal cyst.
- Postoperative complications included pneumonia and wound infection.
- Despite these challenges, the patient remained well at a 2-year follow-up.
Implications:
- This case represents a unique co-occurrence of choledochal cyst and SLE in a pediatric patient.
- Successful surgical management under steroid cover demonstrates feasibility in complex cases.
- The report highlights the importance of considering rare presentations in patients with autoimmune diseases.
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