Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 49 4 2011 04 15 269 274 EN Atia Zaka-ur-Rab Department of Surgery, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, India. Zeeba Zaka-ur-Rab Department of Pediatrics, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, India. Rehan Fareed Department of Surgery, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, India. Intezar Ahmed Department of Surgery, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, India. 2015 09 28 Cholelithiasis is a rare but known complication of surgery for duodenal atresia. Occurrence of choledocholithiasis as sequelae of duodenoduodenostomy is still rarer. Biliary stasis resulting from compression of common bile duct due to periductal fibrosis may predispose to gallstone formation. We are reporting a case of choledocholithiasis in a 6 year old child as a late post-operative complication of duodenoduodenostomy (for duodenal atresia in the neonatal period). To the best of our knowledge this is the first case of its kind reported in English literature. Cholecystectomy followed by choledocholithotomy was done and the patient had an uneventful recovery. Upper abdominal pain in any patient with a history of surgery for duodenal atresia in the past warrants a thorough evaluation for any biliary tract anomaly, cholecystitis, cholangitis, cholelithiasis or choledocholithiasis. https://acta.tums.ac.ir/index.php/acta/article/view/3737 https://acta.tums.ac.ir/index.php/acta/article/download/3737/3712