Amith Pakkala, Bheerappa Nagari, Phani Kumar Nekarakanti, Ashish Kumar Bansal

Department of Surgical Gastroenterology, Nizam’s Institute of Medical Sciences, Hyderabad, India


Choledochal cysts (CC) are congenital cystic dilations of the biliary tree usually associated with abnormal pancreaticobiliary ductal junction (APBDJ), but its association with pancreatic divisum has been rarely described. We encountered four cases of CC associated with pancreatic divisum (PD). Three had Type 3 PD and one had Type 1 PD. Two cases presented with pancreatic complications, with one case requiring preoperative minor papilla sphincterotomy for recurrent pancreatitis. The association of CC with PD is infrequent, and the variable presentation alters management strategy. PD may be one of the factors responsible for complications associated with CC.

Keywords: Choledochal cyst, pancreatic divisum, abnormal pancreaticobiliary junction

Cite this article as: Pakkala A, Nagari B, Nekarankanti PK, Bansal AK. A case series of choledochal cyst with pancreatic divisum: A rare association. Turk J Surg 2022; 38 (3): 294-297.


Ethics Committee Approval

This study was approved by Nizam’s Institute of Medical Sciences Institutional Ethics Committee (Decision no: EC/NIMS/2940/2022, Date: 25.01.2022).

Peer Review

Externally peer-reviewed.

Author Contributions

Concept - A.K.P.; Supervision - B.N., P.K.N., A.K.B.; Data Collection and/or Processing - A.K.P., P.K.N., A.K.B.; Literature Search - P.K.N., B.N., A.K.P.; Writing Manuscript - A.K.P., P.K.N.; Critical Reviews - B.N., P.K.N.

Conflict of Interest

No conflict of interest was declared by the authors.

Financial Disclosure

The authors declared that this study has received no financial support.