Publication Name	World Journal of Clinical Cases
Manuscript ID	126222
Country	United States

Category	Gastroenterology & Hepatology
Manuscript Type	Case Report
Article Title	Preoperative cholangioscopic identification of traumatic type IVa choledochal cyst perforation after motor vehicle collision: A case report
Manuscript Source	Unsolicited Manuscript
All Author List	Liana Ysabel Almendras Bautista, Michelle Lee, Kartik Devgan, Jaron Longo, Sylvia Singh, Kenaz Bakdash, Moiz Ahmed and Rohit Agrawal
Funding Agency and Grant Number
Corresponding Author	Liana Ysabel Almendras Bautista, MD, Department of Internal Medicine, University of Illinois Hospital and Health System, 1740 W Taylor St., Chicago, IL 60612, United States. lianaysabelbautista@gmail.com
Key Words	Choledochal cyst; Endoscopic retrograde cholangiopancreatography; Cholangioscopy; Traumatic rupture; Case report
Core Tip	Traumatic rupture or perforation of a previously undiagnosed choledochal cyst in an adult is a rare cause of biliary injury and may mimic common conditions such as choledocholithiasis. Hemobilia or trauma-associated biliary obstruction should raise suspicion for occult biliary tree injury. Endoscopic retrograde cholangiopancreatography combined with cholangioscopy can directly visualize subtle duct injuries not apparent on initial imaging. Cholecystostomy tube placement may be a helpful bridge to surgery by improving source control in clinically stable patients. Early evaluation with cholangioscopy can facilitate preoperative delineation of biliary anatomy, guiding early diagnostic accuracy of biliary cysts, excision, and reconstruction.
Citation	Bautista LYA, Lee M, Devgan K, Longo J, Singh S, Bakdash K, Ahmed M, Agrawal R. Preoperative cholangioscopic identification of traumatic type IVa choledochal cyst perforation after motor vehicle collision: A case report. World J Clin Cases 2026; In press

Received	2026-07-28 07:31
Peer-Review Started	2026-08-05 06:57
First Decision by Editorial Office Director
Return for Revision	2026-08-26 07:50
Revised	2026-09-07 15:39
Publication Fee Transferred
Second Decision by Editor	2026-09-17 08:52
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-09-17 09:18
Articles in Press	2026-09-17 09:18
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2307-8960 (online)
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