title: Gall bladder tumour, choledochal cyst and an anomalous pancreatico-biliary junction.
abstract: This report highlights the association of a tumour in an acalculous gall bladder with an anomalous pancreatico-biliary junction (PBJ) and a type IVa choledochal cyst. Cholecystectomy and Rouxen-Y hepatico-jejunostomy (RHJ) was performed after division of the common bile duct (CBD) and excision of the dilated segment. The details of the case are presented and the role of an abnormal PBJ in gall bladder carcinogenesis is discussed.
authors.affiliation: Department of Surgery, Hospital Universiti Sains Malaysia, Kelantan.
authors.forename: T F
authors.initials: TF
authors.lastname: Toufeeq Khan
authors.forename: Z A
authors.initials: ZA
authors.lastname: Sherazi
authors.forename: Y Y
authors.initials: YY
authors.lastname: Tan
mesh_terms: D018253:Adenoma, Villous / Q000150:complications*; D000328:Adult; D002760:Cholangiopancreatography, Endoscopic Retrograde; D015529:Choledochal Cyst / Q000150:complications*; D003135:Common Bile Duct / Q000002:abnormalities*; D005260:Female; D005706:Gallbladder Neoplasms / Q000150:complications*; D006801:Humans; D010183:Pancreatic Ducts / Q000002:abnormalities*