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Int J Angiol
DOI: 10.1055/s-0034-1376317
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Type VI Choledochal Cyst—An Unusual Presentation of Jaundice

Lakshmi Nambiar
1   Department of Surgery, Hofstra North Shore–LIJ School of Medicine, Hofstra University, Hempstead, New York
,
Asha Alex
1   Department of Surgery, Hofstra North Shore–LIJ School of Medicine, Hofstra University, Hempstead, New York
,
Eric Siskind
1   Department of Surgery, Hofstra North Shore–LIJ School of Medicine, Hofstra University, Hempstead, New York
,
Adam W. Shen
1   Department of Surgery, Hofstra North Shore–LIJ School of Medicine, Hofstra University, Hempstead, New York
,
Cathy Fan
2   Department of Pathology, Hofstra North Shore–LIJ School of Medicine, Hofstra University, Hempstead, New York
,
Greg Grimaldi
3   Department of Radiology, Hofstra North Shore–LIJ School of Medicine, Hofstra University, Hempstead, New York
,
Charles Choy
1   Department of Surgery, Hofstra North Shore–LIJ School of Medicine, Hofstra University, Hempstead, New York
,
Juan Madariaga
1   Department of Surgery, Hofstra North Shore–LIJ School of Medicine, Hofstra University, Hempstead, New York
,
Jeffrey Nicastro
1   Department of Surgery, Hofstra North Shore–LIJ School of Medicine, Hofstra University, Hempstead, New York
,
Ernesto P. Molmenti
1   Department of Surgery, Hofstra North Shore–LIJ School of Medicine, Hofstra University, Hempstead, New York
,
Gene Coppa
1   Department of Surgery, Hofstra North Shore–LIJ School of Medicine, Hofstra University, Hempstead, New York
› Author Affiliations
Further Information

Publication History

Publication Date:
04 May 2015 (online)

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Abstract

Choledochal cysts involving the cystic duct are extremely rare, and are usually associated with cystic dilatations of the extrahepatic biliary tract. We describe a patient who presented with jaundice and was found to have a dilatation of the common bile duct on computed tomographic imaging, consistent with a choledochal cyst. He underwent a laparoscopic-converted-to-open cholecystectomy with excision of the choledochal cyst which was found to involve the cystic duct. Choledochal cysts involving the cystic duct are notably missing from the Todani classification. Although exceedingly rare, new cases of these types of cysts are being reported, in part due to advancement of diagnostic imaging modalities. We discuss the current classification scheme for choledochal cysts and we propose an expansion of this scheme.

Keywords

choledochal cyst - hepatobiliary - jaundice - cystic duct - cholecystectomy - Todani classification