Anomalous duplicated cystic duct as a surgical hazard: report of a case.
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.
Fujikawa
T
T
Department of Abdominal Surgery, Tenri Hospital, Nara, Japan.
Takeda
H
H
Matsusue
S
S
Nakamura
Y
Y
Nishimura
S
S
D000368:Aged; D002763:Cholecystectomy; D002769:Cholelithiasis / Q000601:surgery; D003549:Cystic Duct / Q000002:abnormalities*; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control