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| Choledochal cyst with large stone cast and portal hypertension |
| Shivendra Singh, Laxman Singh Kheria, Sunil Puri, Amrinder S Puri and Anil K Agarwal |
New Delhi, India
Author Affiliations: Departments of Gastrointestinal Surgery (Singh S, Kheria LS and Agarwal AK), Radiodiagnosis (Puri S) and Gastroenterology (Puri AS), GB Pant Hospital & Maulana Azad Medical College, New Delhi, India
Corresponding Author: Anil K Agarwal, MCh, Professor & Head, Department of Gastrointestinal Surgery, GB Pant Hospital & Maulana Azad Medical College, New Delhi, 110002, India (Tel: 91-11-23235702; Email: aka.gis@gmail.com) |
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Abstract BACKGROUND: 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.
METHOD: We report a case of adult choledochal cyst with long-term complication of large stone cast and portal hypertension due to secondary biliary cirrhosis.
RESULTS: 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.
CONCLUSION: Single stage resection of a choledochal cyst is possible in spite of associated portal hypertension, if the portal vein is patent.
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2009, Vol. 8 
