Recurrent Choledochal Cyst with Pancreatitis–A Rare Indication for Whipple’s Surgery – Case Report and Review of Literature.

A young man presented to us with a history of repeated episodes of epigastric pain, he was evaluated and diagnosed of recurrent pancreatitis. Imaging revealed a choledochal cyst arising from the infra duodenal portion of common bile duct and pancreatic duct opening into it. The choice of surgical intervention in choledochal cysts has always been debated, especially in cases with such anatomy. In the following case report we briefly describe the operative method and rationale for our choice.

Ectopic pancreatic tissue mimicking ampullary tumor.

Ectopic pancreas is an anomaly in the fusion of the two pancreatic buds where an ectopic rest develops at a place away from the normal site. We report a 70-year-old lady who presented with obstructive jaundice; she was found to have an ampullary tumor highly suggestive of malignancy, for which she underwent pancreatico-duodenectomy. However, histology showed ectopic pancreatic tissue in the ampulla.

Carcinoma of stomach in a patient with familial tylosis.

The association of tylosis with esophageal cancer has been extensively reported but association with gastric cancer is rare. We report a 55-year-old man with familial tylosis and carcinoma of the stomach for which radical gastrectomy was done. Repeat endoscopy 3 years later is normal.