{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T02:20:20Z","timestamp":1781058020134,"version":"3.54.1"},"reference-count":13,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2014,10,26]]},"abstract":"<jats:p>Choledochal cysts are a congenital disorder of the bile duct, usually presenting in childhood. As they cause weakening of the wall of the bile duct, any distal obstruction, infection or reflux of amylase-rich fluid in the biliary tract can predispose to spontaneous perforation. A 25-year-old pregnant woman at 35\u2005weeks of gestation presented with acute abdominal and fetal distress. On emergency laparotomy, common bile duct perforations were detected. T-tube drainage and caesarean section were performed. A t-tube cholangiogram revealed the diagnosis of a choledochal cyst with an abnormal pancreatobiliary junction and chronic pancreatitis. The patient later underwent cyst excision with Roux en Y hepaticojejunostomy. Spontaneous choledochal cyst perforation in pregnancy can be successfully managed by a two-stage operation.<\/jats:p>","DOI":"10.1136\/bcr-2014-207183","type":"journal-article","created":{"date-parts":[[2014,11,14]],"date-time":"2014-11-14T09:35:58Z","timestamp":1415957758000},"page":"bcr2014207183","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":10,"title":["Spontaneous choledochal cyst perforation in pregnancy with co-existent chronic pancreatitis"],"prefix":"10.1136","volume":"2014","author":[{"given":"Harjeet","family":"Singh","sequence":"first","affiliation":[{"name":"Department of General Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7461-2083","authenticated-orcid":false,"given":"Rahul","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lakhbir","family":"Dhaliwal","sequence":"additional","affiliation":[{"name":"Department of Gynaecology and Obstetrics, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajinder","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2014,11,14]]},"reference":[{"key":"2025082800234685000_2014.nov14_1.bcr2014207183.1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-195102000-00025"},{"key":"2025082800234685000_2014.nov14_1.bcr2014207183.2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-197604000-00018"},{"key":"2025082800234685000_2014.nov14_1.bcr2014207183.3","doi-asserted-by":"publisher","DOI":"10.1007\/s12664-011-0098-4"},{"key":"2025082800234685000_2014.nov14_1.bcr2014207183.4","doi-asserted-by":"publisher","DOI":"10.1007\/s12664-012-0286-x"},{"key":"2025082800234685000_2014.nov14_1.bcr2014207183.5","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800750921"},{"key":"2025082800234685000_2014.nov14_1.bcr2014207183.6","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(80)90051-3"},{"key":"2025082800234685000_2014.nov14_1.bcr2014207183.7","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(81)80703-8"},{"key":"2025082800234685000_2014.nov14_1.bcr2014207183.8","doi-asserted-by":"publisher","DOI":"10.1097\/00005176-199110000-00012"},{"key":"2025082800234685000_2014.nov14_1.bcr2014207183.9","first-page":"125","article-title":"Spontaneous perforation of choledochal cyst","volume":"181","author":"Ando","year":"1995","journal-title":"J Am Coll Surg"},{"key":"2025082800234685000_2014.nov14_1.bcr2014207183.10","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijoa.2004.10.006"},{"key":"2025082800234685000_2014.nov14_1.bcr2014207183.11","doi-asserted-by":"publisher","DOI":"10.1097\/SLE.0b013e31818096a0"},{"key":"2025082800234685000_2014.nov14_1.bcr2014207183.12","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(97)90572-8"},{"key":"2025082800234685000_2014.nov14_1.bcr2014207183.13","first-page":"373","article-title":"Choledochal cysts with chronic pancreatitis in adults: report of two cases with a review of the literature","volume":"11","author":"Gouda","year":"2010","journal-title":"JOP"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2014-207183","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T07:23:52Z","timestamp":1756365832000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2014-207183"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,11,14]]},"references-count":13,"alternative-id":["10.1136\/bcr-2014-207183"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2014-207183","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,11,14]]}}}