title: Cystic duct directly joining the main pancreatic duct.
abstract: A unique anomaly of the direct union between the cystic duct and the main pancreatic duct is presented. A 19-year-old man with a history of repeated epigastralgia underwent endoscopic retrograde cholangiopancreaticography that showed a direct union between the cystic duct and the main pancreatic duct. No pancreaticobiliary maljunction was noticed. Cholecystectomy accompanied by resection of the long cystic duct was performed. The excised gallbladder showed cholesterolosis, chronic cholecystitis, and hyperplasia of the pseudopyloric glands microscopically. The patient has been well for 3 years since surgery.
authors.affiliation: Department of Surgery, Kagoshima Medical Association Hospital, 7-1 Kamoike-shinmachi, Kagoshima 890-0064, Japan.
authors.forename: Jun
authors.initials: J
authors.lastname: Kadono
authors.forename: Koro
authors.initials: K
authors.lastname: Sakoda
authors.forename: Mineo
authors.initials: M
authors.lastname: Tabata
authors.forename: Juro
authors.initials: J
authors.lastname: Mizouchi
authors.forename: Masahiko
authors.initials: M
authors.lastname: Osako
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Shibuya
authors.forename: Tamiharu
authors.initials: T
authors.lastname: Utsunomiya
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Uchizono
authors.forename: Atsumasa
authors.initials: A
authors.lastname: Yamaguchi
authors.forename: Takeshi
authors.initials: T
authors.lastname: Shimizu
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002763:Cholecystectomy; D041761:Cholecystolithiasis / Q000150:complications; D003549:Cystic Duct / Q000002:abnormalities*; D006801:Humans; D008297:Male; D010183:Pancreatic Ducts / Q000002:abnormalities*