Abstract
Spontaneous rupture and subsequent bile peritonitis are rare complications of choledochal
cysts. Of these complications, the formation of a biliary pseudocyst is an unusual
form, and its preoperative diagnosis is difficult. In this report, we describe 2 cases
showing spontaneous rupture with biliary pseudocyst formation. Inflammatory tissue
surrounded those pseudocysts, one of which was adjacent to the perforation and the
other formed in the transverse mesocolon apart from the biliary tract. These pseudocysts
were removed by careful dissection, and single-stage cyst excision with biliary reconstruction
was successfully performed in both cases.
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© 2006 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
