Choledocal Cyst as a Cause of Abdominal Pain Clinic Case: Choledocal Cyst

A 37-year-old female patient with abdominal pain in the right hypochondrium of chronic evolution, history of mild acute pancreatitis 3 months ago. Normal laboratory tests except for slight elevation of bilirubins; Radiological and endoscopic studies (ultrasound, abdominal tomography, colangioresonance, endoscopic retrograde cholangiopancreatography) report dilation of the main bile duct compatible with choledochal cyst. She underwent laparotomy finding a gallbladder, fibrous wall, cystic duct of 10 cm in length, with several bends, cystic tumor involving common hepatic duct, distal two thirds of the cystic duct and common bile duct to her retropancreatic portion with duct diameter of 5 cm. cm. En bloc resection including gallbladder, cystic duct, common hepatic duct and common bile duct; finally bilioenteric anastomosis in Y of Roux. It evolves satisfactorily; the histopathological report fibrous cystic wall coated by reactive superficial epithelium, focus of pseudopilórica metaplasia and chronic inflammatory infiltration.