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Research Article Open access CC BY 4.0

Unveiling Type 4A Choledochal Cyst a Congenital Anomaly Presenting in Adulthood: A Surgical Challenge

Shrikanta Biswas

Asian Journal of Case Reports in Surgery · pp. 352–359 · Published 5 Jul 2024

10.9734/ajcrs/2024/v7i2549

Abstract

Rare congenital biliary tree malformations known as choledochal cysts can have a substantial negative impact on morbidity and mortality if they are not detected and treated promptly. The dilatation of either the intrahepatic or extrahepatic bile ducts, or both, is a characteristic of these cysts. Asian populations are more likely to have choledochal cysts; in Japan, the frequency is as high as one in per 1000 live births. There are 5 subtypes of choledochal cyst and in adults type 4 is the most common. Here we report a case of a 52-year-old lady who presented with vague abdominal pain and on evaluation was incidentally found to have a choledochal cyst type 4A. The patient underwent excision of the extrahepatic hugely dilated choledochal cyst with cholecystectomy and reconstruction was done by Roux-en-Y hepaticojejunostomy to the confluence of the right and left hepatic duct at the hilum.

Choledochal cyst todani hepaticojejunostomy liver transplant hepatectomy Roux-en-Y choledochocele diverticulum pancreatic divisum

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