Abstract
A 33-year-old woman was evaluated for a 2-week history f progressive jaundice and weight loss. There was no hisory of fever or abdominal pain. Past history was significant or cholecystectomy, resection of a congenital choledochal cyst, nd Roux-en-Y hepaticojejunostomy 6 years earlier. Her physial examination revealed icterus and a right subcostal scar. Liver unction tests revealed the following: total bilirubin, 323 mol/L normal, 5–28 mol/L); direct bilirubin, 254 mol/L ( 1000 U/ml; normal, <22 U/ml). Magnetic resonance imagng revealed a mass in the remnant choledochal cyst (Fig. 1a and b). holangiocarcinoma was preoperatively considered. A grey solid ass (1.3 cm × 1.0 cm × 1.0 cm) was observed at the end of the holedochal cyst during laparotomy. Intraoperative frozen section onfirmed a benign lesion. The patient underwent excision of the emnant choledochal cyst and a new hepaticojejunostomy. Postperative course was uneventful and she was discharged 7 days fter surgery. Histological analysis revealed a traumatic bile duct Fig. 1.
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