title: Aberrant left main bile duct draining directly into the cystic duct or gallbladder: an unreported anatomical variation and cause of bile duct injury during laparoscopic cholecystectomy.
abstract: Despite recent advances, iatrogenic bile duct injury remains one of the most common complications of laparoscopic cholecystectomy. Aberrant biliary tract anatomy is one of the major risk factors for iatrogenic bile duct injury. In this case report, for the first time, we report a case of aberrant left main bile duct draining directly into the cystic duct or gallbladder that presented with bile duct injury after laparoscopic cholecystectomy. We hope that the diagnostic and management approach used in this case will help physicians to identify and manage their patients should they face such a rare anatomy.
authors.affiliation: John C. McDonald Regional Transplant and Hepatopancreatobiliary Surgery Center, Willis-Knighton Health System in Shreveport.
authors.forename: Hosein
authors.initials: H
authors.lastname: Shokouh-Amiri
authors.affiliation: John C. McDonald Regional Transplant and Hepatopancreatobiliary Surgery Center, Willis-Knighton Health System in Shreveport.
authors.forename: Mohammad Kazem
authors.initials: MK
authors.lastname: Fallahzadeh
authors.affiliation: John C. McDonald Regional Transplant and Hepatopancreatobiliary Surgery Center, Willis-Knighton Health System in Shreveport.
authors.forename: Sophia T
authors.initials: ST
authors.lastname: Abdehou
authors.affiliation: John C. McDonald Regional Transplant and Hepatopancreatobiliary Surgery Center, Willis-Knighton Health System in Shreveport.
authors.forename: Miles
authors.initials: M
authors.lastname: Sugar
authors.affiliation: John C. McDonald Regional Transplant and Hepatopancreatobiliary Surgery Center, Willis-Knighton Health System in Shreveport.
authors.forename: Gazi B
authors.initials: GB
authors.lastname: Zibari
mesh_terms: D000368:Aged; D001652:Bile Ducts / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000293:injuries; D002758:Cholangiography; D017081:Cholecystectomy, Laparoscopic / Q000009:adverse effects*; D005260:Female; D005704:Gallbladder / Q000000981:diagnostic imaging / Q000601:surgery; D042882:Gallstones / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D010195:Pancreatitis / Q000000981:diagnostic imaging / Q000601:surgery