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Journal of Indian Association of Pediatric Surgeons
     Journal of Indian Association of Pediatric Surgeons
Official journal of the Indian Association of Pediatric Surgeons         
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 CASE REPORT
Year : 2021  |  Volume : 26  |  Issue : 1  |  Page : 57-59

Arterio-Duodenal Fistula: A Rare Complication of Laparoscopic Choledochal Cyst Excision


1 Department of Diagnostic and Interventional Radiology, All India Institute of Medical Sciences, Basni, Jodhpur, India
2 Department of Pediatric Surgery, All India Institute of Medical Sciences, Basni, Jodhpur, India

Correspondence Address:
Dr. Pushpinder S Khera
Department of Diagnostic and Interventional Radiology, All India Institute of Medical Sciences, Basni - 342 005, Jodhpur
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jiaps.JIAPS_56_20

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Choledochal cysts (CDC) are rare biliary tract anomalies characterized by congenital dilatation of the extrahepatic and/or intrahepatic bile ducts. CDC excision with hepatico-enterostomy is the preferred surgery in modern era. Perioperative blood loss in a case of laparoscopic choledochal cyst excision (LCCE) is usually minimal and managed by conservative treatment such as blood transfusion and correction of coagulation factors. Massive hemorrhage in LCCE is rare and reported intraoperatively or within the first 3 postoperative days. Hereby, we present an unusual case of arterio-duodenal fistula, post LCCE presenting as delayed massive upper gastrointestinal bleeding in a male child and its successful endovascular management.






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