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Updated: Feb 7, 2026

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
04:14

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults

Published on: February 28, 2025

847

Type I Choledochal Cyst Complicated With Acute Hemorrhagic Pancreatitis: A Case Report

Ping-Hua Tsai1, Yueh-Chin Yen1, Yi-Hong Chou2,3,4

  • 1Department of Internal Medicine, Chang Bing Show Chwan Memorial Hospital, Changhua, Taiwan.

Journal of Medical Ultrasound
|August 2, 2018
PubMed

Insights

This case study highlights a rare instance of acute hemorrhagic pancreatitis in a patient with a type I choledochal cyst. Surgical intervention for the choledochal cyst led to a successful recovery.

Area of Science:

  • Gastroenterology
  • Pediatric Surgery
  • Medical Imaging

Background:

  • Choledochal cysts are rare congenital biliary anomalies.
  • Acute pancreatitis is an uncommon complication of choledochal cysts.

Observation:

  • A 14-year-old male presented with recurrent abdominal pain, fever, and jaundice.
  • Imaging revealed a type I choledochal cyst with signs of acute pancreatitis, including pancreatic duct dilatation and calcifications.

Findings:

  • The patient experienced acute frank hemorrhagic pancreatitis concurrently with a type I choledochal cyst.
  • Successful surgical management involved choledochal cyst excision and Roux-en-Y hepaticojejunostomy.

Implications:

  • This case underscores the importance of considering choledochal cysts in pediatric patients with unexplained pancreatitis.
  • Early diagnosis and surgical treatment of choledochal cysts can prevent severe complications like hemorrhagic pancreatitis.

Keywords:
Bile ductCholedochal cystComplicationsComputed tomographyCongenital anomalyDiagnosisPancreatitisUltrasonography

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