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Updated: Feb 27, 2026
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Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
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A large choledochocystolithiasis mimicking Mirizzi syndrome
Mustafa Belal Hafeez Chaudhry1, Muhammad Azeemuddin1, Muhammad Rizwan Khan2
1Department of Radiology, Aga Khan University, Karachi, Pakistan.
BMJ Case Reports
|June 26, 2017
Summary
A young man experienced severe abdominal pain and jaundice due to a type I-B choledochal cyst with stones. This condition, choledochocystolithiasis, required surgical intervention for treatment.
Area of Science:
- Gastroenterology
- Hepatobiliary Surgery
- Diagnostic Imaging
Background:
- Choledochal cysts are congenital dilations of the bile ducts, presenting with varied symptoms and imaging findings.
- Choledochocystolithiasis, the presence of gallstones within a choledochal cyst, can mimic other hepatobiliary pathologies.
Observation:
- An 18-year-old male presented with acute epigastric pain, jaundice, and vomiting, with a history of intermittent similar symptoms.
- Initial ultrasound suggested a porta hepatis abnormality, while MRCP revealed a type I-B choledochal cyst with significant choledochocystolithiasis.
- CT imaging initially misdiagnosed the condition as Mirizzi syndrome, highlighting diagnostic challenges.
Findings:
- Histopathology confirmed type I-B choledochocystolithiasis and associated chronic cholecystitis.
- The case underscores the importance of comprehensive imaging and differential diagnosis in hepatobiliary pathology.
Implications:
- Accurate diagnosis of choledochal cysts and associated complications like choledochocystolithiasis is crucial for appropriate management.
- Multimodality imaging plays a vital role in differentiating choledochal cysts from other biliary tract diseases.
- Prompt surgical intervention is often necessary for symptomatic choledochal cysts with choledocholithiasis to prevent complications.
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