TY - JOUR
AR - SCR-2018-1-101
TI - Total Cyst Excision of Type I Choledochal Cyst 2 Years After Roux-en-Y Hepatocholangiojejunostomy: Report of a Case
AU - Gangshan , Liu
AU - Luxin , Sun
AU - Tianyu , Li
AU - Ying , Fan
JO - Surgical Case Reports
PY - 2018
DA - Wed 11, Apr 2018
SN - 2613-5965
DO - http://dx.doi.org/10.31487/j.SCR.2018.10.001
UR - https://www.sciencerepository.org/total-cyst-excision-of-type-I-choledochal-cyst-2-years-after-roux-en-Y-hepatocholangiojejunostomy_SCR-1-101 
KW - Total cyst excision, type I choledochal cysts, Roux-en-Y, Hepatocholangiojejunostomy
AB - 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.