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KMID : 0870420160200040201
Korean Journal of Hepato-Biliary-Pancreatic Surgery
2016 Volume.20 No. 4 p.201 ~ p.203
Cholangiocarcinoma in choledochal cyst after cystoenterostomy: how a mistreated choledochal cyst can progress to malignancy
Baik Hyung-Joo

Park Yo-Han
Seo Sang-Hyuk
An Min-Sung
Kim Kwang-Hee
Bae Ki-Beom
Choi Chang-Soo
Oh Sang-Hoon
Choi Young-Kil
Abstract
This case report presents an unusual case of cholangiocarcinoma arising nearly 35 years after cystoduodenostomy for choledochal cyst. The patient visited our hospital with dyspepsia and studies revealed bezoar within the choledochal cyst caused by bile and food reflux. The patient underwent pancreaticoduodenectomy and a biopsy revealed ad-enocarcinoma, stage IIB. After 19 months, the patient has no recurrence to date and has recovered well. This case shows that proper surgical management and meticulous, long-term follow-up is imperative for patients with congenital choledochal cyst.
KEYWORD
Choledochal cyst, Cholangiocarcinoma, Pancreaticoduodenectomy
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