Related Experiment Video
Updated: Jun 6, 2026
04:14
Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
Choledochal cyst with chronic pancreatitis: presentation and management
Sundeep Singh Saluja1, Pramod Kumar Mishra, Mohammed Nayeem
1Department of Gastrointestinal Surgery, GB Pant Hospital, New Delhi, India. sundeepsaluja@yahoo.co.in
JOP : Journal of the Pancreas
|November 12, 2010
Summary
Choledochal cysts, rare causes of chronic pancreatitis, were treated with cyst excision and drainage. Surgical management proved effective, with most patients remaining asymptomatic post-procedure.
Area of Science:
- Gastroenterology and Hepatobiliary Surgery
- Pediatric Surgery
- Surgical Oncology
Background:
- Choledochal cysts are congenital bile duct dilatations often linked to pancreatobiliary malunion.
- Complications include acute pancreatitis and bile duct cancer, but chronic pancreatitis is infrequently reported.
Observation:
- This study presents three cases of choledochal cysts associated with chronic pancreatitis.
- Patients presented with abdominal pain and, in one case, jaundice.
- Diagnosis was confirmed via laboratory tests and MRI/MRCP.
Findings:
- Two patients had Type I choledochal cysts and one had Type IV-A, all with chronic calcific pancreatitis and dilated pancreatic ducts.
- Surgical excision of the cyst with drainage resulted in an uneventful postoperative course for all.
- At 9-month follow-up, two patients were asymptomatic; one required gastrojejunostomy for duodenal obstruction.
Implications:
- The association between choledochal cysts and chronic pancreatitis may be causal.
- Cyst excision with lateral pancreaticojejunostomy is a safe and curative treatment option.
Related Concept Videos
01:29Chronic Pancreatitis II: Collaborative Care
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
01:24Chronic Pancreatitis I: Introduction
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
01:25Chronic Pancreatitis I: Introduction
Chronic pancreatitis is a long-standing, relapsing inflammation of the pancreas, characterized by irreversible damage to the gland. It results in progressive destruction of the pancreatic parenchyma, fibrosis, and eventual loss of both exocrine and endocrine function. The disease may evolve gradually after multiple episodes of acute pancreatitis or develop independently.EtiologyChronic pancreatitis can arise from a variety of causes:Alcohol use is the leading cause, accounting for 70–80% of...
01:30Acute Pancreatitis II: Clinical Manifestations and Management
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
01:21Chronic Pancreatitis II: Pathophysiology
Chronic pancreatitis is a progressive and irreversible inflammation of the pancreas, most often caused by long-term alcohol abuse, but it can also be related to ductal obstruction, smoking, or genetic factors.Chronic pancreatitis occurs when the pancreas is repeatedly exposed to harmful agents like alcohol, smoking, ductal obstruction, or genetic predisposition. These factors lead to the release of toxic metabolites and inflammatory cytokines, sustaining chronic inflammation in the pancreatic...
01:20Cholecystitis
Cholecystitis is inflammation of the gallbladder, most commonly caused by obstruction of the cystic duct. This blockage prevents bile from draining, leading to gallbladder distension, inflammation, and potentially serious complications. This condition may present acutely or chronically and can happen with or without gallstones.EtiologyAbout 95% of cholecystitis cases are calculous, caused by gallstones blocking the cystic duct, leading to bile accumulation and inflammation of the gallbladder...