BMJ Case Reports 2018; doi:10.1136/bcr-2018-224357
  • Unusual association of diseases/symptoms

Ruptured choledochal cyst during early pregnancy with successful fetomaternal outcome

  1. Aruna Nigam
  1. Department of Obstetrics and Gynecology, Hamdard Institute of Medical Sciences and Research and HAHC Hospital, New Delhi, India
  1. Correspondence to Dr Aruna Nigam, prakasharuna{at}
  • Accepted 1 April 2018
  • Published 13 April 2018


Choledochal cyst is a rare congenital malformation which is usually found in young children and adolescents but can rarely present in the adult age group. It can present with several complications like cholangitis, pancreatitis, biliary cirrhosis, portal hypertension, liver abscess, malignancy and rarely spontaneous rupture (in 2% of cases) causing biliary peritonitis. A case of spontaneous rupture of choledochal cyst during second trimester of pregnancy is reported where the patient was managed by minimal surgery, peritoneal washout, placement of T-tube and planned for definitive treatment in the postpartum period. The pregnancy continued till 35 weeks with favourable fetomaternal outcome.


  • Contributors NV has contributed to the writing of the manuscript. AAE has contributed to the management and concept of the case. NG has helped in the management and collection of the data. AN has contributed to the management and writing of the case.

  • Funding This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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