Single-stage reconstruction of perforated choledochal cyst: Case report and review of the literature

Dion L. Franga, Charles G. Howell, John D. Mellinger, Robyn M. Hatley

Research output: Contribution to journalArticle

8 Scopus citations


Choledochal cysts represent a rare disease in the Western world. We reviewed our recent experience with a case of perforated choledochal cyst, define the currently accepted treatment options, and review the literature of this unusual disease. An 11-month-old girl presented with abdominal pain and distention as well as non-bilious vomiting. Subsequent workup included endoscopic retrograde cholangiopancreatography revealing a perforated type I choledochal cyst. She underwent single-stage excision and reconstruction with a Roux-en-Y hepaticojejunostomy. Perforated choledochal cyst is a rare event, and prompt surgical intervention is warranted. Single-stage cystectomy and Roux-en-Y reconstruction is possible in select patients. A thorough understanding of the pathophysiology, management, and follow-up is required.

Original languageEnglish (US)
Pages (from-to)398-401
Number of pages4
JournalAmerican Surgeon
Issue number5
StatePublished - Dec 1 2005


ASJC Scopus subject areas

  • Surgery

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