Choledochal cyst with large stone cast and portal hypertension
Singh, S.; Kheria, L.S.; Puri, S.; Puri, A.S.; Agarwal, A.K.
Hepatobiliary and Pancreatic Diseases International Hbpd Int 8(6): 647-649
2009
ISSN/ISBN: 1499-3872 PMID: 20007085 Document Number: 628351
Choledochal cysts in adults are more commonly associated with complications such as cystolithiasis, recurrent cholangitis, portal hypertension and malignancy, than in the pediatric age group. We report a case of adult choledochal cyst with long-term complication of large stone cast and portal hypertension due to secondary biliary cirrhosis. A 50-year-old patient presented with obstructive jaundice and hepatosplenomegaly. On investigation, she was diagnosed as having a choledochal cyst with large stone cast and portal hypertension. Single stage resection of the choledochal cyst with Roux-en-Y hepaticojejunostomy was done by meticulous dissection and ligation of collaterals. Single stage resection of a choledochal cyst is possible in spite of associated portal hypertension, if the portal vein is patent.