Percutaneous transhepatic cyst drainage as a bridge procedure to definitive treatment of perforated choledochal cysts

Perforated choledochal cysts are rare. Traditionally, they have been managed by primary T-tube choledochostomy and interval cystectomy with hepaticojejunostomy. We present here our recent experience with a case of perforated choledochal cyst, which was managed with preoperative percutaneous transhepatic cyst drainage, followed by definite surgery for choledochal cyst, cyst excision, and reconstruction with Roux-en-y hepaticojejunostomy. Preoperative percutaneous cyst drainage seems to be useful and effective in managing complicated choledochal cysts. The procedure garners time for patients' general condition and laboratory findings to improve to the extent that general surgery can be performed.