The OMENS syndrome involves craniofacial maldevelopment of theorbit, ear cranial nerve and soft tissue, while OMENS- plus syndrome also includes extracraniofacial anomalies. these may be skeletal, cardiovascular, gastrointestinal, pulmonary, renal and central nervous system malformations. A fourteen-year-old girl presented with hemifacial microsomia, digital abnormalities and pancreatitis. She was diagnosed as O1M2E0N2S1 - plus syndrome. Investigations revealed a type Ic choledochal cyst. the latter has not been reported as a gastrointestinal association earlier in literature to the best of the authors’ knowledge.