What are the possible complications of choledochal cysts?

Updated: Jul 01, 2020
  • Author: Emily Tommolino, MD; Chief Editor: BS Anand, MD  more...
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Answer

Complications of choledochal cysts include the following:

  • Patients undergoing excision of a choledochal cyst are subject to the usual complications associated with surgery, including hemorrhage, wound infection, bowel obstruction, and thrombotic complications.

  • Postoperatively, patients are at risk of developing pancreatitis and ascending cholangitis.

  • Late postoperative complications include development of intrahepatic bile duct stones and cholangiocarcinoma.

  • Adult patients with long-standing subclinical ductal inflammation and biliary stasis may develop one or more of the following complications: hepatic abscesses, cirrhosis, portal hypertension, recurrent pancreatitis, and cholelithiasis.

Other potential complications include cyst rupture, secondary biliary cirrhosis, bleeding, and obstructive jaundice.


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