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Journal of General Surgery

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Case Report

Whipple Procedure in the Treatment of Choledochal Cyst

Hector Mauricio Serrano Reyes, Mansuor Chaer Alameddin, Claudio de Saboya David, Paulo Loures

Correspondence Address :

Hector Mauricio Serrano Reyes. Carlos Chagas State Hospital
General Surgery Service
Rio de Janeiro
RJ, Brazil
Tel: +5521998271008
Email: Drhmsr@gmail.com

Received on: December 10, 2018, Accepted on: January 03, 2019, Published on: January 10, 2019

Citation: Hector Mauricio Serrano Reyes, Mansuor Chaer Alameddin, Claudio de Saboya David, Paulo Loures (2019). Whipple Procedure in the Treatment of Choledochal Cyst

Copyright: 2019 Hector Mauricio Serrano Reyes et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

  • Abstract

Abstract
Introduction: Choledochal cysts are malformations of the intra- and extrahepatic biliary tree, congenital or acquired, occurring at low frequency in adulthood.

Case report: We report the case of an adult patient (36 years) diagnosed with choledochal cyst during investigation for persistent abdominal pain, with choledocholithiasis associated with the clinical case. The reported case has some divergent characteristics of the reported cases of choledochal cyst, including that the patient did not presented the classic triad of symptoms (abdominal pain, abdominal mass and jaundice) that accompanies the choledochal cyst and the surgery performed to treat the lesion was of great complexity (Whipple procedure).

Conclusion: The case shows the importance of always considering a diagnostic hypothesis of choledochal cyst in patients with persistent pain in right hypochondrium concomitant with laboratory changes typical of cholestasis. In addition, it adds to the current literature evidence indicating that total resection of the choledochal cyst should be emphasized and partial excision abandoned.

Keywords: Choledochal cyst, Obstructive jaundice, Biliary disease, Whipple procedure