ABSTRACT

In areas where incidence of choledochal cysts is relatively high, it is prudent to consider choledochal cyst in the differential diagnosis in patients who present with biliary colic, recurrent cholangitis, and evidence of dilated biliary tree ( 32 , 33 ). However, in areas where incidence of choledochal cysts is rare, this might represent a real-diagnostic dilemma requiring careful management of these patients at a specialist unit to ensure correct and adequate treatment tailored to each individual.