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  • Title: Single-stage reconstruction of perforated choledochal cyst: case report and review of the literature.
    Author: Franga DL, Howell CG, Mellinger JD, Hatley RM.
    Journal: Am Surg; 2005 May; 71(5):398-401. PubMed ID: 15986969.
    Abstract:
    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.
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