American Research Journal of Medicine and Surgery

Choledochal cysts in adults are often detected during the investigation of nonspecific symptoms. Choledochal cysts are uncommon and of unknown cause, with an incidence of 0.1% even among adults referred for endoscopic retrograde cholangiopancre atography (ERCP) investigation 2. There is a higher incidence in females 3, 4. The presentation is often vague and nonspecific, impending prompt diagnosis. However, the diagnosis is facilitated by modern imaging techniques. While some aspects of optimal management have been resolved, others remain controversial. Here in we report our experience concentrating particularly on current issues in management of the disease.
MRCP is the best imaging modality for diagnosis and characterization of these cysts. Complete excision and hepaticojejunostomy is the management of choice. Two drain (Subhiepatic and pelvis) should be put at time of surgery.