Clinical Manifestations of Choledochal Cysts: Two Case Studies
S. N. Jatal, Sudhir Jatal, Ajay Punpale, Supriya Jatal
Asian Journal of Research in Surgery · pp. 158–165 · Published 5 May 2025
10.9734/ajrs/2025/v8i1277Abstract
Choledochal cysts are congenital or acquired anomalies affecting the biliary system, characterized by dilation of the bile ducts. While the common bile duct (choledochus) is typically involved, both intrahepatic and extrahepatic bile ducts may also be affected. The clinical presentation is often non-specific. Although the classical triad of abdominal pain, jaundice, and a palpable mass is well-known, it is observed in only about 10% of cases. Therefore, imaging studies are essential for accurate diagnosis and classification. For adults with type I choledochal cysts, the treatment of choice is complete cyst excision followed by a Roux-en-Y hepaticojejunostomy. This surgical approach offers several advantages, including a reduced risk of anastomotic strictures, stone formation, cholangitis, and the development of malignancy within the cyst. We report two adult female patients who were diagnosed using MRCP and subsequently underwent open Roux-en-Y hepaticojejunostomy.
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