{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T07:59:06Z","timestamp":1780473546617,"version":"3.54.1"},"reference-count":11,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,9,27]],"date-time":"2023-09-27T00:00:00Z","timestamp":1695772800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>A choledochal cyst is a rare congenital anomaly of the biliary system, characterized by bile duct cystic dilatation, typically affecting the common bile duct. Choledochal cysts are generally categorized using the Todani classification system. The typical symptoms are jaundice, abdominal masses, and recurrent abdominal pain. As most cases are diagnosed in children, adult presentations are uncommon and often associated with complications. A 22\u2010year\u2010old female patient complained of severe abdominal pain and vomiting for 5\u2009days, with signs of jaundice. Her abdominal ultrasound revealed fusiform dilation of the extrahepatic common bile duct with multiple calculi in its distal\u2010most part. On CT cholangiogram of the abdomen, Type IV\u2010A Choledochal cyst with non\u2010obstructive choledocholithiasis was found. Although rare, choledochal cysts are a well\u2010known clinical entity. It is essential to diagnose and treat patients because they may develop complications. Cholecystectomy combined with Roux\u2010en\u2010Y hepaticojejunostomy is the preferred treatment for Type IV\u2010A choledochal cysts. Since choledochal cysts in adults are uncommon, early detection and treatment are essential to avoid serious complications. Ultrasonography (USG), Magnetic resonance cholangiopancreatography (MRCP), and Computed tomography (CT) can provide a diagnosis.<\/jats:p>","DOI":"10.1002\/ccr3.7992","type":"journal-article","created":{"date-parts":[[2023,9,27]],"date-time":"2023-09-27T21:44:30Z","timestamp":1695851070000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Type\n                    <scp>IV\u2010A<\/scp>\n                    choledochal cyst with choledocholithiasis in an adult female: A case report"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9223-7800","authenticated-orcid":false,"given":"Pratik","family":"Bhattarai","sequence":"first","affiliation":[{"name":"Manipal College of Medical Sciences  Pokhara Nepal"},{"name":"Oxford University Clinical Research Unit Nepal  Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bishowdeep","family":"Timilsina","sequence":"additional","affiliation":[{"name":"Department of General Surgery Manipal Teaching Hospital  Pokhara Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prasun","family":"Khanal","sequence":"additional","affiliation":[{"name":"Manipal College of Medical Sciences  Pokhara Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,9,27]]},"reference":[{"issue":"1","key":"e_1_2_12_2_1","first-page":"73","article-title":"A giant type IVA choledochal cyst","volume":"25","author":"Anand U","year":"2012","journal-title":"Ann Gastroenterol"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2020.03.014"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.5811\/westjem.2015.4.25407"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.3348\/jksr.2015.73.4.252"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.4274\/jpr.08860"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.31546\/2732\u20105652.1003"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.138.3.333"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00534-004-0960-1"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v19.i32.5207"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/000313481207800334"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2014.04.023"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.7992","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T14:21:18Z","timestamp":1764253278000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.7992"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,27]]},"references-count":11,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2023,10]]}},"alternative-id":["10.1002\/ccr3.7992"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.7992","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,9,27]]},"assertion":[{"value":"2023-07-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-09-20","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-09-27","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e7992"}}