World Journal of Laparoscopic Surgery

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VOLUME 15 , ISSUE 3 ( September-December, 2022 ) > List of Articles

CASE REPORT

Type VI Choledochal Cyst: A Rare Case Presenting with Acute Pancreatitis

Ambuj Agarwal, Divij Jayant, Kailash Chand Kurdia, Arunanshu Behera

Keywords : Acute pancreatitis, Intraoperative diagnosis, Type VI choledochal cyst

Citation Information : Agarwal A, Jayant D, Kurdia KC, Behera A. Type VI Choledochal Cyst: A Rare Case Presenting with Acute Pancreatitis. World J Lap Surg 2022; 15 (3):255-257.

DOI: 10.5005/jp-journals-10033-1512

License: CC BY-NC 4.0

Published Online: 08-12-2022

Copyright Statement:  Copyright © 2022; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Choledochal cyst (CDC) of cystic duct, i.e., choledochal cyst type VI is an extremely rare clinical entity, with few case reports only. Even the Todani classification of choledochal cyst does not include as a separate entity. Most of choledochal cyst VI is asymptomatic. For an accurate diagnosis, magnetic resonance cholangiopancreatography (MRCP) is required. There is no consensus regarding the management of the cystic duct cyst due to the rarity of the disease, but treatment alternatives extend from laparoscopic cholecystectomy to complete excision of the biliary duct with bilio-enteric reconstruction. We present a case of middle-aged woman who presented with biliary pancreatitis and managed with interval laparoscopic cholecystectomy. Choledochal cyst type VI had been identified intraoperatively.


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  1. Todani T, Watanabe Y, Narusue M, et al. Congenital bile duct cysts: classification, operative procedures, and review of thirty-seven cases including cancer arising from choledochal cyst. Am J Surg 1977;134(2):263–269. DOI: 10.1016/0002-9610(77)90359-2.
  2. Bode WE, Aust JB. Isolated cystic dilatation of the cystic duct. Am J Surg 1983;145(6):828–829. DOI: 10.1016/0002-9610(83)90152-6.
  3. Serradel AFS, Linares ES, Goepfert RH. Cystic dilatation of the cystic duct: a new type of biliary cyst. Surgery 1991;109(3 Pt 1):320–322. PMID: 2000564.
  4. Maheshwari P. Cystic malformation of cystic duct: 10 cases and review of literature. World J Radiol 2012;4(9):413–417. DOI: 10.4329/wjr.v4.i9.413.
  5. Amarjyothi JMV, Ramasamy V, Jesudasan J, et al. Type VI choledochal cyst – case report and review of literature. Surg J (N Y) 2019;5(3):e82–e86. DOI: 10.1055/s-0039-1693652.
  6. Reddych VV, Kumar A, Aggarwal M, et al. Type VI choledochal cyst with carcinoma gall bladder. BMJ Case Rep 2019;12(12):e232715. DOI: 10.1136/bcr-2019-232715.
  7. Melton GB, Lillemoe KD. Choledochal cyst and biliary stricture. In: Zinner MJ, Ashley SM, editors. Maingot's Abdominal Operations, 11th ed. United States of America: Mc Graw Hill, 1997:889–920.
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