{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T09:22:58Z","timestamp":1792660978308,"version":"4.5.0"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2020,3,23]],"date-time":"2020-03-23T00:00:00Z","timestamp":1584921600000},"content-version":"vor","delay-in-days":82,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Bile duct cysts are congenital malformations characterized by bile duct dilatation with intra and\/or extrahepatic localization. About 80% of cases are diagnosed in childhood, so their presentation in adults is rare and repeatedly associated with complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case<\/jats:title>\n                    <jats:p>A 38-year-old female patient complained of severe abdominal pain for one month, with no associated cholestatic signs. She underwent abdominal ultrasonography that showed cholelithiasis with extrahepatic bile duct dilatation and underwent cholangiography (MRI), which revealed fusiform dilatation of the proximal portion of the hepatocholedochal, compatible with choledochal cyst.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>In adult patients, clinical manifestations are usually nonspecific, and the diagnosis is established by medical imaging. Magnetic resonance cholangiopancreatography (MRCP) is the gold standard diagnostic today. Treatment with better prognosis consists of total cyst resection with hepaticojejunal anastomosis and intestinal transit reconstruction with Roux-en-Y.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Bile duct cysts are a rare condition in adults. Currently, increasing access to more accurate medical imaging enables early diagnosis, contributing to the use of therapeutic methods in appropriate time, avoiding development of complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2020.03.014","type":"journal-article","created":{"date-parts":[[2020,4,2]],"date-time":"2020-04-02T11:22:05Z","timestamp":1585826525000},"page":"33-36","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":7,"title":["Choledochal cyst- unusual presentation in the adult phase"],"prefix":"10.1097","volume":"70","author":[{"given":"Victor Vinicius Monteiro Lins","family":"de Albuquerque","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank Pinheiro","family":"De Macedo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ketlen G.","family":"Costa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zuriel Rodrigues","family":"Seixas Nunes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rubem A.","family":"da Silva Junior","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-9-20260114","doi-asserted-by":"crossref","first-page":"3334","DOI":"10.3748\/wjg.v25.i26.3334","article-title":"Choledochal cysts: similarities and differences between Asian and Western countries","volume":"25","author":"Baison","year":"2019","journal-title":"World J. Gastroenterol"},{"key":"R2-9-20260114","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1590\/0100-69912014005006","article-title":"Cisto de col\u00e9doco na inf\u00e2ncia: revis\u00e3o de 30 casos","volume":"41","author":"Forny","year":"2014","journal-title":"Rev. Col. Bras. Cir"},{"key":"R3-9-20260114","first-page":"256","article-title":"Cisto de col\u00e9doco com apresenta\u00e7\u00e3o em idade adulta","volume":"56","author":"D\u2019Incao","year":"2012","journal-title":"Revista da AMRIGS"},{"key":"R4-9-20260114","first-page":"213","article-title":"Doen\u00e7as c\u00edsticas das vias biliares","volume":"13","author":"Pacheco","year":"2015","journal-title":"Rev. Soc. Bras. Clin. Med"},{"key":"R5-9-20260114","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1016\/j.mjafi.2012.04.011","article-title":"Choledochal cyst","volume":"68","author":"Kumar","year":"2012","journal-title":"Med. J. Armed Forces India"},{"key":"R6-9-20260114","first-page":"24","article-title":"Cisto de col\u00e9doco tipo I em adulto","volume":"54","author":"Souza","year":"2009","journal-title":"Arq. Med. Hosp. Fac. Cienc. Med. Santa Casa S\u00e3o Paulo"},{"key":"R7-9-20260114","first-page":"434","article-title":"Choledochal cysts - part 1 of 3: classification and pathogenesis","volume":"52","author":"Singham","year":"2009","journal-title":"J. Can. Chir"},{"key":"R9-9-20260114","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1007\/s00383-017-4083-6","article-title":"Pediatric choledochal cysts: diagnosis and current management","volume":"33","author":"Soares","year":"2017","journal-title":"Pediatr. Surg. Int"},{"key":"R10-9-20260114","first-page":"197","article-title":"Cisto de col\u00e9doco em adulto","volume":"24","author":"Junior","year":"1997","journal-title":"Rev. Col. Bras. Cir"},{"key":"R12-9-20260114","doi-asserted-by":"crossref","first-page":"7061","DOI":"10.3748\/wjg.v20.i22.7061","article-title":"Diagnosis and management of choledochal cyst: 20 years of single center experience","volume":"20","author":"Gadelhak","year":"2014","journal-title":"World J. Gastroenterol"},{"key":"R13-9-20260114","doi-asserted-by":"crossref","first-page":"138","DOI":"10.5455\/aim.2013.21.138-139","article-title":"Choledochal cyst \u2013 presentation and treatment in an adult","volume":"21","author":"Sallahu","year":"2013","journal-title":"Acta Inform. Med"},{"key":"R14-9-20260114","doi-asserted-by":"crossref","first-page":"845","DOI":"10.1007\/s00383-019-04489-y","article-title":"Early complications after laparoscopic resection of choledochal cyst","volume":"35","author":"Zhang","year":"2019","journal-title":"Pediatr. Surg. Int"},{"key":"R15-9-20260114","doi-asserted-by":"crossref","first-page":"807","DOI":"10.12669\/pjms.35.3.85","article-title":"Laparoscopic surgery in the treatment of children with choledochal cyst","volume":"35","author":"Qu","year":"2019","journal-title":"Pak. J. Med. Sci"},{"key":"R16-9-20260114","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1016\/j.ijsu.2018.10.028","article-title":"The SCARE 2018 statement: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"60","author":"Agha","year":"2018","journal-title":"Int. J. Surg"},{"key":"R17-9-20260114","first-page":"231","article-title":"Congenital choledochal cyst: new etiological concept based on anomalous relationships of common bile duct and pancreatic bulb","volume":"12","author":"Babbitt","year":"1969","journal-title":"Ann. Radiol"},{"key":"R18-9-20260114","doi-asserted-by":"crossref","first-page":"e83","DOI":"10.1055\/s-0038-1673379","article-title":"An unusual case of choledochal cyst","volume":"6","author":"Pathak","year":"2018","journal-title":"Eur. J. Pediatr. Surg. Rep"},{"key":"R19-9-20260114","first-page":"1","article-title":"Congenital choledochal cyst, with a report of 2, and an analysis of 94 cases","volume":"108","author":"Alonzo-Lej","year":"1959","journal-title":"Surg. Gynecol. Obstet. Int. Abstr. Surg"},{"key":"R20-9-20260114","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1016\/0002-9610(77)90359-2","article-title":"Congenital bile duct cysts: classification, operative procedures, and review of thirty-seven cases including cancer arising from choledochal cyst","volume":"134","author":"Todani","year":"1977","journal-title":"Am. J. Surg"},{"key":"R21-9-20260114","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1007\/s00534-011-0475-5","article-title":"Techniques of biliary reconstruction following bile duct resection (with video)","volume":"19","author":"Hirano","year":"2012","journal-title":"J. Hepatobiliary Pancreat. Sci"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261220301565?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261220301565?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2020.03.014","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:32:39Z","timestamp":1768397559000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2020.03.014"}},"subtitle":["Case report"],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":19,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2020.03.014","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2020,1]]}}}