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Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
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Giant choledochal cyst type 4A: a surgical challenge
Sakthivel Harikrishnan1, Servarayan Murugesan Chandramohan2, Apsara Chandramohan3
1Surgical Gastroenterology, Government Stanley Medical College, Chennai, India.
The Pan African Medical Journal
|January 11, 2021
Summary
Giant choledochal cysts are rare biliary tract anomalies. This report details a type 4A giant choledochal cyst, emphasizing surgical management and reconstruction in an adult patient.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Pediatric Surgery
Background:
- Choledochal cysts are rare congenital biliary tract anomalies.
- Type 4 choledochal cysts are most common in adults.
- Giant choledochal cysts exceeding 6cm are exceptionally rare.
Observation:
- A 33-year-old female presented with a large abdominal mass.
- Diagnostic evaluation revealed a giant type 4A choledochal cyst.
Findings:
- The patient underwent surgical excision of the extrahepatic choledochal cyst.
- A concomitant cholecystectomy was performed.
- Roux-en-Y hepaticojejunostomy was utilized for reconstruction.
Implications:
- This case highlights the surgical approach for managing giant choledochal cysts in adults.
- Successful reconstruction is crucial for long-term patient outcomes.
- Further research into the etiology and management of giant choledochal cysts is warranted.
