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Type VI Choledochal Cyst Diagnosed Intraoperatively
               Cyst with the wide outlet of the cystic duct into the common   reFerences
            hepatic duct, open cholecystectomy with excision of cystic duct cyst
            up to CHD and CBD with bilioenteric reconstruction, to remove the     1.  Todani T, Watanabe Y, Narusue M, et al. Congenital bile duct cysts:
                                                                    classification, operative procedures, and review of thirty-seven
            entire cystic epithelium. For bilioenteric reconstruction, Roux-en-Y   cases including cancer arising from choledochal cyst. Am J Surg
            hepaticojejunostomy is recommended. Although another method   1977;134(2):263–269. DOI: 10.1016/0002-9610(77)90359-2.
            of bilioenteric reconstruction like choledochoduodenostomy can     2.  Bode WE, Aust JB. Isolated cystic dilatation of the cystic duct. Am J
            be performed. 5                                         Surg 1983;145(6):828–829. DOI: 10.1016/0002-9610(83)90152-6.
                                                                 3.  Serradel AFS, Linares ES, Goepfert RH. Cystic dilatation of the cystic
                                                                    duct: a new type of biliary cyst. Surgery 1991;109(3 Pt 1):320–322.
            clinicAl signiFicAnce                                   PMID: 2000564.
            With advancements made at diagnostic tools and a better     4.  Maheshwari P. Cystic malformation of cystic duct: 10 cases and
            understanding of this type of pathology, more cystic lesions of   review of literature. World J Radiol 2012;4(9):413–417. DOI: 10.4329/
            cystic duct can be identified preoperatively. Preoperative diagnosis   wjr.v4.i9.413.
            can help in better management of the patient.        5.  Amarjyothi JMV, Ramasamy V, Jesudasan J, et al. Type VI choledochal
                                                                    cyst – case report and review of literature. Surg J (N Y) 2019;5(3):e82–
                                                                    e86. DOI: 10.1055/s-0039-1693652.
            orcid                                                6.  Reddych VV, Kumar A, Aggarwal M, et al. Type VI choledochal cyst
            Ambuj Agarwal   https://orcid.org/0000-0002-5692-892X   with carcinoma gall bladder. BMJ Case Rep 2019;12(12):e232715. DOI:
                                                                    10.1136/bcr-2019-232715.
            Divij Jayant   https://orcid.org/0000-0002-1839-228X     7.  Melton GB, Lillemoe KD. Choledochal cyst and biliary stricture. In:
            Kailash Chand Kurdia   https://orcid.org/0000-0002-9600-7981  Zinner MJ, Ashley SM, editors. Maingot’s Abdominal Operations,
            Arunanshu Behera   https://orcid.org/0000-0003-0954-0372  11th ed. United States of America: Mc Graw Hill, 1997:889–920.

























































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