Cystic duct directly joining the main pancreatic duct.
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.
Kadono
Jun
J
Department of Surgery, Kagoshima Medical Association Hospital, 7-1 Kamoike-shinmachi, Kagoshima 890-0064, Japan.
Sakoda
Koro
K
Tabata
Mineo
M
Mizouchi
Juro
J
Osako
Masahiko
M
Shibuya
Hiroshi
H
Utsunomiya
Tamiharu
T
Uchizono
Hitoshi
H
Yamaguchi
Atsumasa
A
Shimizu
Takeshi
T
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*