title: A hepaticojejunostomy: technical errors with 'twists and turns'.
abstract: Excision of a choledochal cyst followed by biliary reconstruction with a Roux-en-Y hepaticojejunostomy is the treatment of choice for type I and IV choledochal cysts. We present a rare complication which was identified 8 years after the original reconstructive surgery. Conventional imaging modalities failed to identify the pathology. Only a contrast enhanced CT scan supported by image rendering software allowed for the visualization of the underlying chronic obstruction of part of the mesentery.
authors.affiliation: Division of Paediatric Surgery & Urology, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, 4/F Clinical Science Building, Shatin, N. T., Hong Kong SAR, China. chhouben@web.de
authors.forename: C H
authors.initials: CH
authors.lastname: Houben
authors.forename: M
authors.initials: M
authors.lastname: Chan
authors.forename: G
authors.initials: G
authors.lastname: Cheung
authors.forename: K H
authors.initials: KH
authors.lastname: Lee
authors.forename: P
authors.initials: P
authors.lastname: Tam
authors.forename: C K
authors.initials: CK
authors.lastname: Yeung
mesh_terms: D000713:Anastomosis, Roux-en-Y; D002648:Child; D015529:Choledochal Cyst / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010193:Pancreaticojejunostomy / Q000379:methods*; D011183:Postoperative Complications / Q000601:surgery; D012086:Reoperation; D014057:Tomography, X-Ray Computed; D018608:Ultrasonography, Doppler