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Updated: Dec 8, 2025

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
Intriguing case of giant intra-abdominal pseudocyst: Diagnostic dilemma
Divya Shetty1, Batuk Diyora2, Nitin Gadgil1
1Department of Pathology, Lokmanya Tilak Municipal Medical College and Sion Hospital, Mumbai, India.
Abstract:
We present a case of a giant intra-abdominal pseudocyst in a 24-year-old male as a complication of ventriculoperitoneal (VP) shunt. Ultrasonography and computed tomography abdomen detected a 20 × cm 14.5× cm 9 cm thin-walled cystic lesion with few septae occupying a large space in the left side of the abdomen with a VP shunt tip within it. Histopathological findings suggested a pseudocyst. However, multiple epithelioid cell granulomas on cyst wall resulted in a diagffignostic dilemma.
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