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Papers of the Week


2021 Dec 24


Int J Surg Case Rep


90

Choledochal cyst: A challenging diagnostic and therapeutic entity in low-resource settings.

Authors

Hakimi T, Esmat H A, Karimi R
Int J Surg Case Rep. 2021 Dec 24; 90:106729.
PMID: 34991049.

Abstract

Choledochal cyst is an uncommon congenital biliary tract abnormality of unknown etiology. Its classical symptoms are jaundice, abdominal pain, and right upper quadrant mass. However, the disease may present with a vague and non-specific chronic abdominal discomfort. Delay in diagnosis and management may increase the risk of complications particularly the malignancy, which can directly affect the prognosis and outcome. Complete excision of the extra-hepatic duct, cholecystectomy, and Roux-en-Y hepaticojejeunostomy through the open surgical intervention or laparoscopic procedure is the mainstay of treatment.