Abstract

Congenital cysts of the common bile duct (CBD) are rare. Mostly they are found in children and do not typically lead to the formation of common bile duct stones. It is uncertain whether primary CBD stones and acquired choledochal cysts exist. We present an 80-year-old woman presented with epigastric discomfort. Investigation revealed dilatation of the CBD with large concrements. The gallbladder showed no abnormalities and no stones. A cholecystectomy and CBD exploration with stone extraction were performed. Choledochal cysts are usually congenital and discovered in childhood. Congenital CBD cysts are known for their risk of forming a bile duct malignancy with an increasing incidence with age. Presentation at the age of 80 years has not been reported before. We believe that in this patient the underlying aetiology was a choledochal cyst-like dilatation acquired during life leading to stasis of bile and formation of primary CBD stones.

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