Choledochal cyst with large stone cast and portal hypertension.
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.
Singh
Shivendra
S
Department of Gastrointestinal Surgery, GB Pant Hospital & Maulana Azad Medical College, New Delhi, India.
Kheria
Laxman Singh
LS
Puri
Sunil
S
Puri
Amrinder S
AS
Agarwal
Anil K
AK
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