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Updated: Mar 14, 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

Ulcerated choledochocele: A case report.

E Ray-Offor¹, S N Elenwo¹, P O Igwe¹

¹Department of Surgery, University of Port-Harcourt Teaching Hospital, Rivers State, Nigeria.

International Journal of Surgery Case Reports

|September 28, 2016

Summary

This summary is machine-generated.

A rare case of choledochocele presenting as massive lower gastrointestinal bleeding in a child was successfully treated with minimal access surgery. This highlights the importance of considering choledochocele in diagnosing submucosal duodenal masses.

Keywords:

Case report Choledochocele Gastrointestinal bleeding

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Published on: November 25, 2025

Area of Science:

Gastroenterology
Pediatric Surgery
Surgical Innovation

Background:

Choledochocele, a rare cystic dilatation of the distal common bile duct, infrequently causes massive gastrointestinal bleeding.
This case highlights an unusual presentation of a rare biliary tract anomaly.

Purpose of the Study:

To report a rare case of choledochocele presenting with massive lower gastrointestinal bleeding.
To emphasize the utility of minimal access surgical techniques in managing this condition.

Main Methods:

A 13-year-old boy presented with hematochezia and syncope.
Initial upper endoscopy revealed a submucosal mass near the ampulla of Vater.
Emergency laparotomy and duodenotomy identified and treated the choledochocele via de-roofing and marsupialization.

Main Results:

The choledochocele was successfully treated with a de-roofing and marsupialization procedure.
The patient experienced a postoperative complication of adhesive small bowel obstruction, managed laparoscopically.
The patient was discharged in good condition.

Conclusions:

Choledochocele should be considered in the differential diagnosis of submucosal masses in the duodenum, especially when presenting with gastrointestinal bleeding.
Upper gastrointestinal endoscopy is crucial for evaluating massive lower GI bleeding potentially originating from duodenal pathology.