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UNUSUAL CASE
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Laparoscopic evaluation and resection of type-II choledochal cyst arising from right hepatic duct mimicking gall bladder duplication


 Department of Surgical Gastroenterology, Santokba Institute of Digestive Surgical Sciences, Santokba Durlabhji Memorial Hospital Cum Research Institute, Jaipur, Rajasthan, India

Correspondence Address:
Rajesh Bhojwani,
Santokba Institute of Digestive Surgical Sciences, Santokba Durlabhji Memorial Hospital Cum Research Institute, Jaipur, Rajasthan
India
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmas.JMAS_101_18

PMID: 30178764

A Type II choledochal cyst arising from the right hepatic duct may mimic a gall bladder duplication. Both are rare and may not get differentiated before operative exploration. While a magnetic resonance cholangiopancreatography (MRCP) may be helpful, laparoscopy may be the final tool for evaluation and effective surgical treatment. We report such a case of a 22-year-old male whose MRCP was suggestive of a cystic lesion in the gall bladder fossa and was taken up for surgery with a pre-operative diagnosis of gall bladder duplication with a single cystic duct. He underwent elective laparoscopic evaluation, mobilisation, discerning of anatomy and diagnosis, excision of cyst and concomitant cholecystectomy. This case highlights that these two rare entities can mimic each other on imaging; however, a laparoscopic approach serves the dual purpose of diagnosing and treating this unique pathoanatomical entity.


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    -  Bhojwani R
    -  Jain N
    -  Mishra S
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2004 Journal of Minimal Access Surgery
Published by Wolters Kluwer - Medknow
Online since 15th August '04