title: Anomalous duplicated cystic duct as a surgical hazard: report of a case.
abstract: Anomalies of the biliary ductal system are not uncommon, and their clinical significance is variable. We present herein the case of a 70-year-old Japanese woman found to have an anomalous duplicated cystic duct, which is an extremely rare congenital anomaly. Intraoperative delineation of the anomaly by real-time cholangiograms assisted us in being able to subsequently perform a safe cholecystectomy. This case serves to demonstrate the importance of being aware of the possibility of potential biliary variations in order to avoid ductal injuries during biliary surgery.
authors.affiliation: Department of Abdominal Surgery, Tenri Hospital, Nara, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Fujikawa
authors.forename: H
authors.initials: H
authors.lastname: Takeda
authors.forename: S
authors.initials: S
authors.lastname: Matsusue
authors.forename: Y
authors.initials: Y
authors.lastname: Nakamura
authors.forename: S
authors.initials: S
authors.lastname: Nishimura
mesh_terms: D000368:Aged; D002763:Cholecystectomy; D002769:Cholelithiasis / Q000601:surgery; D003549:Cystic Duct / Q000002:abnormalities*; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control