Giant Choledochal Cyst

A 2 years old female child presented with recurrent pain abdomen and abdominal distention since 6 months. On examination, a huge mass was palpable occupying almost the entire abdomen. CT scan of the abdomen revealed it to be a giant choledochal cyst.

After thorough preoperative preparation, the patient was taken up for surgery.

Intraoperatively, the cyst was found to be adherent and displacing all the structures in the abdomen due to its huge size. Slowly all the structures were separated from the cyst wall, along with the hepatic artery and portal vein posteriorly. The entire cyst was removed along with the gall bladder and biliary reconstruction was done by Roux-en-Y hepaticojejunostomy. The patient was uneventfully discharged on 8th postoperative day.