title: Choledochal cyst with large stone cast and portal hypertension.
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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  Single stage resection of a choledochal cyst is possible in spite of associated portal hypertension, if the portal vein is patent.
authors.affiliation: Department of Gastrointestinal Surgery, GB Pant Hospital & Maulana Azad Medical College, New Delhi, India.
authors.forename: Shivendra
authors.initials: S
authors.lastname: Singh
authors.forename: Laxman Singh
authors.initials: LS
authors.lastname: Kheria
authors.forename: Sunil
authors.initials: S
authors.lastname: Puri
authors.forename: Amrinder S
authors.initials: AS
authors.lastname: Puri
authors.forename: Anil K
authors.initials: AK
authors.lastname: Agarwal
mesh_terms: D000713:Anastomosis, Roux-en-Y; D049448:Cholangiopancreatography, Magnetic Resonance; D015529:Choledochal Cyst / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D005260:Female; D042882:Gallstones / Q000209:etiology* / Q000601:surgery; D006801:Humans; D006975:Hypertension, Portal / Q000209:etiology* / Q000601:surgery; D007582:Jejunostomy; D008026:Ligation; D008105:Liver Cirrhosis, Biliary / Q000209:etiology* / Q000601:surgery; D008875:Middle Aged; D016896:Treatment Outcome