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Updated: Mar 2, 2026

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
Choledochal cyst in pregnancy
K S Koh1, I Bickle2, V V Mathew1
1Department of Surgery, RIPAS Hospital, Bandar Seri Begawan, Brunei Darussalam.
Introduction:
Biliary diseases during pregnancy are not uncommon and are frequently due to cholelithiasis. Choledochal cyst during pregnancy is rare. The management of biliary pathologies during pregnancy poses a challenge as the window of opportunity to carry out any interventions with minimal risk is small.
Case Report:
We report the case of a lady who was diagnosed with a large type I choledochal cyst during the second trimester of pregnancy. Due to increasing symptoms and recurrent cholangitis, she was managed with antibiotics and surgical resection. She remained well and delivered a healthy baby boy.
Conclusion:
Clinicians need to consider choledochal cyst as a differential in pregnant patients presenting with upper abdominal fullness.
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