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Updated: Jun 28, 2026

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
Cholecystoduodenal fistula associated with choledochal cyst: a rare clinical entity
Subash Rajendra Banerjee Jesudason1, Ravish Sanghi Raju
1Department of General Surgery Unit 4 (Hepato-Biliary Pancreatic Surgery), Christian Medical College, Vellore, 632004, Tamil Nadu, India.
Insights
This case study discusses a type I choledochal cyst and cholecystoduodenal fistula in a 61-year-old woman. Management involved surgical excision of the cyst and fistula disconnection.
Area of Science:
- Gastroenterology
- Surgical Case Study
Background:
- Choledochal cysts are congenital biliary anomalies.
- Cholecystoduodenal fistula is an abnormal connection between the gallbladder and duodenum.
Observation:
- A 61-year-old woman presented with cholangitis.
- Diagnostic imaging revealed a type I choledochal cyst and a cholecystoduodenal fistula.
Findings:
- Surgical excision of the choledochal cyst was performed.
- Disconnection of the cholecystoduodenal fistula was successfully achieved.
Implications:
- This case highlights the importance of considering choledochal cysts and associated fistulas in patients with cholangitis.
- Effective surgical management can lead to favorable outcomes.
Abstract:
A 61-year-old woman presented with recent history of cholangitis. On evaluation, she was found to have a type I choledochal cyst and a cholecystoduodenal fistula. She underwent excision of the choledochal cyst and disconnection of the fistula. In this case study, we present the diagnostic features and management of choledochal cyst associated with cholecystoduodenal fistula and a literature review of the condition.
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