Single-Stage Reconstruction of Perforated Choledochal Cyst: Case Report and Review of the Literature

Franga, Dion L.; Howell, Charles G.; Mellinger, John D.; Hatley, Robyn M.
May 2005
American Surgeon;May2005, Vol. 71 Issue 5, p398
Academic Journal
Choledochal cysts represent a rare disease in the Western world. We reviewed our recent experience with a case of perforated choledochal cyst, define the currently accepted treatment options, and review the literature of this unusual disease. An 11-month-old girl presented with abdominal pain and distention as well as non-bilious vomiting. Subsequent workup included endoscopic retrograde cholangiopancreatography revealing a perforated type I choledochal cyst. She under-went single-stage excision and reconstruction with a Roux-en-Y hepaticojejunostomy. Perforated choledochal cyst is a rare event, and prompt surgical intervention is warranted. Single-stage cystectomy and Roux-en-Y reconstruction is possible in select patients. A thorough understanding of the pathophysiology, management, and follow-up is required.


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