Abstract
A 64-year-old woman was admitted with mild right upper quadrant abdominal pain. Her physical examination revealed a moderately nourished female with normal vital sign and no evidence of jaundice or anemia. Preoperative diagnosis was choledochal cyst with anomalous union of pancreaticobiliary duct (AUPBD), long Y-shaped type and gallbladder (GB) cancer. An extended cholecystectomy, excision of the common bile duct and biliary diversion via Roux-en Y hepaticojejunostomy was performed. The gallbladder cancer showed invasion to perimuscular connective tissue and no extension beyond serosa. Twelve months after curative resection, the patient had no evidence of tumor recurrence.
Highlights
In anomalous union of pancreaticobiliary duct (AUPBD), the common channel is abnormally long and the connection between the common bile duct and pancreatic duct is outside of the duodenal wall [1]
A 64-year-old woman was admitted with mild right upper quadrant abdominal pain
Endoscopic retrograde cholangiopancreatography (ERCP) and magnetic resonance cholangiopancreatogram (MRCP) revealed choledochal cyst with anomalous union of pancreatobiliary system (Figures 3 and 4). This patient presented with gallbladder mass and choledochal cyst associated with AUPBD, long Y-shaped type
Summary
In anomalous union of pancreaticobiliary duct (AUPBD), the common channel is abnormally long and the connection between the common bile duct and pancreatic duct is outside of the duodenal wall [1]. This congenital disorder is frequently associated with choledochal cystst [1]. AUPBD is prone to have benign as well as malignnant complications including carcinoma of biliary tract [2]. I describe here a case of a choledochal cyst combined with Y-shaped AUPBD that was detected in a patient in her sixties as a primary cancer of the gallbladder
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
