Total Cyst Excision of Type I Choledochal Cyst 2 Years After Roux-en-Y Hepatocholangiojejunostomy: Report of a Case

Total Cyst Excision of Type I Choledochal Cyst 2 Years After Roux-en-Y Hepatocholangiojejunostomy: Report of a Case

Author Info

Corresponding Author
Ying Fan
No.36, Sanhao street, He ping distinct, Shenyang, Liaoning province, Department of The Second General Surgery, Shengjing Hospital of China Medical University, Shenyang, People’s Republic of China

A B S T R A C T

Background: Choledochal cysts are rare congenital or acquired cystic dilation of the intra- or extrahepatic bile ducts. It is well known that choledochal cyst is a precancerous lesion and cancer usually occurs at the site of bile stasis, irritation, and inflammation. Case presentation: We present a rare case of cyst excision of type I choledochal cysts after Roux-en-Y Hepatocholangiojejunostomy about two years ago. A 17-years-old girl visited our hospital complaining of transient epigastric pain. History study revealed that she had undergone Roux-en-Y Hepatocholangiojejunostomy for cholecochal cyst (type I) without cyst excision 2 years ago in local hospital because of severe adhesion of the cyst to the portal vein and pancreas. In our department,the patient underwent total cyst excision and postoperative pathological study revealed fibrous wall tissue, confirming the diagnosis of choledochal cyst. The patient has no recurrence to date and has recovered well. Conclusion: This case shows that proper surgical management is necessary for patients with congenital choledochal cyst.

Article Info

Article Type
Case Report
Publication history
Received: Tue 20, Mar 2018
Accepted: Wed 04, Apr 2018
Published: Wed 11, Apr 2018
Copyright
© 2023 Ying Fan. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2018.10.001