A 55-year-old woman underwent suprapancreatic resection of a large choledochal cyst, Todani type IVA, associated with pancreatobiliary maljunction (PBMJ), Komi type IIb [1] (• " Fig. 1 a, b and• " Fig. 2). The pancreatic parenchyma was not incised or cauterized during surgery. On the first postoperative day, a large amount (500-600 mL) of an amylase and lipase-rich secretion was noted to be draining out of the Jackson-Pratt drain. An endoscopic retrograde cholangiopancreatography (ERCP) was performed to evaluate the pancreatobiliary anatomy,
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