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Updated: May 27, 2026

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
[An exceptional case of choledochocele and pancreas divisum in an elderly man]
Antonio Garrido1, Rafael León, Jaime López
1Servicio de Aparato Digestivo, Hospital Virgen del Rocío, Sevilla, España. agarser@telefonica.net
Abstract:
Choledochocele belongs to type III biliary cysts in Todani's classification and are considered the least frequent cysts in this class. The usual definition of choledochocele is that of a cystic expansion of the distal intramural portion of the bile duct that protrudes into the duodenal lumen. Endoscopic retrograde cholangiopancreatography (ERCP) is one of the tests of choice both for diagnosis and treatment. We report the case of a 77-year-old patient with chronic epigastric pain, nausea/vomiting and episodes of cholangitis due to a choledochocele. Magnetic resonance cholangiography and other radiological procedures (ultrasound, computed tomography, magnetic resonance) were not diagnostic. ERCP was essential to diagnosis and treatment since this procedure provided the treatment by means of biliary sphincterotomy.
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Assessment:
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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.
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