Abstract

Congenital cystic abnormalities of the biliary tree are rare and sometimes it can be difficult to differentiate pre-operatively whether the anomaly is a duplication of the gallbladder or a choledochal cyst. We present a case of a young female patient who was investigated for atypical chronic symptoms. Imaging studies with u/s and MRCP confirmed the presence of a cystic lesion of 5×6cm next to the gallbladder which could not be differentiated from choledochal cyst type II or duplication of the gallbladder. It was excised laparoscopically, with concomitant cholecystectomy. On histology, proved to be a choledochal cyst type II. Laparoscopic approach in such cases is feasible and should be undertaken cautiously applying the technical tips necessary for patient’s safety.

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