title: Occult carcinoma in an adult choledochal cyst.
abstract: The complications of choledochal cyst are avoidable if diagnosed early, and adequate resection undertaken. This case report describes the long history of right subcostal pain in a young man of 26 who had a squamous carcinoma in a choledochal cyst diagnosed after serial section of the excised cyst. Subsequent resection of the head of the pancreas showed histological residual tumour from which he died 4 months later. This case illustrates the need for complete early excision of a choledochal cyst to prevent this complication.
authors.affiliation: Department of Gastroenterology, University College and Middlesex Hospital, Medical School, London, UK.
authors.forename: J F
authors.initials: JF
authors.lastname: Dowsett
authors.forename: J
authors.initials: J
authors.lastname: Rode
authors.forename: V A
authors.initials: VA
authors.lastname: Chandiramani
authors.forename: R C
authors.initials: RC
authors.lastname: Russell
mesh_terms: D000230:Adenocarcinoma / Q000209:etiology / Q000473:pathology; D000328:Adult; D015529:Choledochal Cyst / Q000150:complications*; D003138:Common Bile Duct Neoplasms / Q000209:etiology* / Q000473:pathology; D006801:Humans; D008297:Male; D010190:Pancreatic Neoplasms / Q000209:etiology