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World J Gastroenterol. Jun 28, 2013; 19(24): 3911-3914
Published online Jun 28, 2013. doi: 10.3748/wjg.v19.i24.3911
Published online Jun 28, 2013. doi: 10.3748/wjg.v19.i24.3911
Traumatic rupture of a type IVa choledochal cyst in an adult male
Yun-Fei Duan, Bo Yang, Feng Zhu, Department of Hepatobiliary Surgery, the Third Affiliated Hospital of Soochow University, Changzhou 213000, Jiangsu Province, China
Author contributions: Duan YF and Yang B managed the patient and wrote the manuscript; Duan YF and Zhu F revised the manuscript; all authors have read and approved the final version to be published.
Correspondence to: Feng Zhu, PhD, Chief, Department of Hepatobiliary Surgery, the Third Affiliated Hospital of Soochow University, 185 Juqian Street, Changzhou 213003, Jiangsu Province, China. dahe1971@163.com
Telephone: +86-519-68871348 Fax: +86-519-86621235
Received: February 16, 2013
Revised: March 26, 2013
Accepted: April 10, 2013
Published online: June 28, 2013
Revised: March 26, 2013
Accepted: April 10, 2013
Published online: June 28, 2013
Core Tip
Core tip: Choledochal cyst (CC) is a rare, congenital anomaly of the bile ducts. We describe a young man who was transferred to our hospital with a reported traumatic rupture of liver cystic lesions. The patient was found to have peritonitis and abdominal hemorrhage, which is quite rare. Abdominal computed tomography and emergency laparotomy revealed rupture of a huge type IVa CC. The patient was successfully managed by primary cyst excision, cholecystectomy, and Roux-en-Y end-to-side hepaticojejunostomy reconstruction.