Abstract
A 44-year-old female patient came to our hospital with the chief complaint of epigastric pain. After detailed studies, a diagnosis of choledocholithiasis was made and the patient was referred to our gastroenterology department and an endoscopic sphincterotomy of the papilla of Vater was performed. Intraoperative choledochography revealed a 3mm in size pathological elevation of the wall with smooth surface. The patient was followed in the out patient clinic without particular problems, but was referred to our department to rule out possible malignancy. Cholecystectomy was performed with an intraoperative endoscopic study of the common bile duct through the cystic duct. The tumor was a submucosal one and only a wedge resection was performed as it was believed to be benign. Intraoperative pathological diagnosis was a cyst without atypical cells and a T-tube was inserted through the incision. Seepage of bile was observed postoperatively, but this was successfully managed conservatively. The patient was discharged 27 days after the surgery. The final pathological diagnosis was a simple intramural cyst of the common bile duct. We report this case with some review of the literatures.
