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KMID : 0870420170210010052
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Korean Journal of Hepato-Biliary-Pancreatic Surgery
2017 Volume.21 No. 1 p.52 ~ p.56
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A rare case of choledochal cyst with pancreas divisum: case presentation and literature review
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Ransom-Rodriguez Adrian
Blachman-Braun Ruben
Ramos EmilioSanchez-Garcia
Varela-Prieto Jesus
Rosas-Lezama Erick
Mercado Miguel Angel
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Abstract
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Choledochal cysts are rare congenital malformations of the bile duct characterized by dilatations of the intrahepatic and/or extrahepatic portion of the biliary tree, they are associated to an anomalous arrangement of the pancreaticobiliary duct. Pancreas divisum results from a fusion failure of the pancreatic buds. The coexistence of pancreas divisum and choledochal cyst in adults has been reported in less than 10 well documented cases. This article presents a case of a 42-year-old Peruvian man with intermittent episodes of abdominal pain, initially diagnosed with choledocholithiasis, who underwent open cholecystectomy. During surgery, a diagnosis of choledochal cyst and pancreas divisum was made, and therefore a hepaticoduodenostomy was performed. The patient was referred to our hospital due to persistence of abdominal pain. After admission, a papillectomy was achieved without further complications. A cyst resection and dismantling of hepaticoduodenostomy with Roux-en-Y was performed 8 years later. During the subsequent 18-month follow-up, the patient remains asymptomatic.
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KEYWORD
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Bile duct cysts, Choledochal cyst, Pancreas divisum, Pancreatitis
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