PMC10034815_01
(a) Computed tomography image showing GB (red arrow) and the cyst (blue arrow), (b) Intraoperative image with the view of GB (red arrow) and the cyst (blue arrow), (c) View of the medial margin of ciliated foregut cyst (blue arrow) and common hepatic duct (CHD) (yellow arrow) after anterior dissection, (d) Completed anterior and posterior dissection showing no communication of the cyst (blue arrow) with the CHD (yellow arrow), (e) Specimen showing GB (red arrow) and the cyst (blue arrow), (f) Ciliated columnar epithelium on HPE
JMAS-19-144-g001.jpg
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jmas_379_21-f001
No communication was seen [Figure 1a]. Laparoscopy with standard 4 cholecystectomy ports showed a cyst in the Calot's triangle [Figure 1b]. After that, blunt dissection was done to lift the cyst from the CHD [Figure 1c]. The cyst was now approached both from the anterior and posterior sides till the distal third of the gall bladder with the cyst was lifted off from the inferior surface of the liver showing no communication of the cyst with the liver [Figure 1d]. Specimen [Figure 1e] was sent for histopathology. Histopathology confirmed the diagnosis of CFC [Figure 1f].