A case series of choledochal cyst with pancreatic divisum: A rare association

Amith Pakkala; Bheerappa Nagari; Phani Kumar Nekarakanti; Ashish Kumar Bansal

doi:10.47717/turkjsurg.2022.5609

A case series of choledochal cyst with pancreatic divisum: A rare association

Turk J Surg. 2022 Sep 19;38(3):294-297. doi: 10.47717/turkjsurg.2022.5609. eCollection 2022 Sep.

Authors

Amith Pakkala¹, Bheerappa Nagari¹, Phani Kumar Nekarakanti¹, Ashish Kumar Bansal¹

Affiliation

¹ Department of Surgical Gastroenterology, Nizam's Institute of Medical Sciences, Hyderabad, India.

Abstract

Choledochal cysts (CC) are congenital cystic dilations of the biliary tree usually associated with abnormal pancreaticobiliary ductal junction (APBDJ), but its association with pancreatic divisum has been rarely described. We encountered four cases of CC associated with pancreatic divisum (PD). Three had Type 3 PD and one had Type 1 PD. Two cases presented with pancreatic complications, with one case requiring preoperative minor papilla sphincterotomy for recurrent pancreatitis. The association of CC with PD is infrequent, and the variable presentation alters management strategy. PD may be one of the factors responsible for complications associated with CC.

Keywords: Choledochal cyst; abnormal pancreaticobiliary junction; pancreatic divisum.