Skip to main content
Log in

Anomalous duplicated cystic duct as a surgical hazard: Report of a case

  • Case Reports
  • Published:
Surgery Today Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Moosman DA, Coller FA (1951) Prevention of traumatic injury to the bile ducts. Am J Surg 82:132–143

    Article  PubMed  CAS  Google Scholar 

  2. Hayes MA, Goldenberg IS, Bishop CC (1958) The developmental basis for bile duct anomalies. Surg Gynecol Obstet 107:447–456

    PubMed  CAS  Google Scholar 

  3. Hamlin JA (1981) Biliary ductal anomalies. In: Berci G, Hamlin JA (eds) Operative biliary radiology. Williams and Wilkins, Baltimore, pp 109–135

    Google Scholar 

  4. Reid SH, Cho SR, Shaw CI, Turner MA (1986) Anomalous hepatic duct inserting into the cystic duct. Am J Roentgenol 147:1181–1182

    CAS  Google Scholar 

  5. Brandt CP, Eckhauser ML (1994) Rare bile duct anomalies. A case report and implications for laparoscopic cholecystectomy. Surg Endosc 8:329–331

    Article  PubMed  CAS  Google Scholar 

  6. Naritomi G, Kimura H, Konomi H, Takeda T, Ogawa Y, Chijiiwa K, Tanaka M (1994) Multiseptate gallbladder as a cause of biliary pain. Am J Gastroenterol 89:1891–1892

    PubMed  CAS  Google Scholar 

  7. Puente SG, Bannura GC (1983) Radiological anatomy of the biliary tract: Variations and congenital abnormalities. World J Surg 7:271–276

    Article  PubMed  CAS  Google Scholar 

  8. Tabrisky J, Pollack EL (1971) The aberrant divisional bile duct — a case report. Radiology 99:537–538

    PubMed  CAS  Google Scholar 

  9. Pollack EL, Tabrisky J (1973) The aberrant divisional bile duct: a surgical hazard. Surgery 73:234–239

    PubMed  CAS  Google Scholar 

  10. Goor DA, Ebert PA (1972) Anomalies of the biliary tree — Report of a repair of an accessory bile duct and review of the literature. Arch Surg 104:302–309

    PubMed  CAS  Google Scholar 

  11. Christensen RA, van Sonnenberg E, Nemcek AJ, Agostino HB (1992) Inadvertent ligation of the aberrant right hepatic duct at cholecystectomy: radiologic diagnosis and therapy. Radiology 183:549–553

    PubMed  CAS  Google Scholar 

  12. Charels K, Kloeppel G (1989) The bile duct system and its anatomical variations. Endoscopy 21:300–308

    Article  PubMed  Google Scholar 

  13. Skandalakis JE, Gray SW, Rowe JS (1983) Biliary tract. In: Skandalakis JE, Gray SW, Rowe JS (eds) Anatomical complications in general surgery. McGraw-Hill, New York, pp 125–145

    Google Scholar 

  14. Chilimoniuk M (1976) Rare case of double cystic duct. Wiad Lek 29:1829–1831

    PubMed  CAS  Google Scholar 

  15. Dia A, Venditelli F, Valleix D, Descottes B (1989) Double cystic duct. Apropos of a case. Ann Chir 43:306–308

    PubMed  CAS  Google Scholar 

  16. Kubota Y (1991) Duplication of the cystic duct detected by endoscopic retrograde cholangiopancreatography [letter]. Endoscopy 23:308

    Article  PubMed  CAS  Google Scholar 

  17. Korn O, Csendes A, Bastias J (1988) Anomalies of extrahepatic biliary duct and gallbladder associated with intestinal malrotation: a case report. Surgery 103:496–498

    PubMed  CAS  Google Scholar 

  18. Campbell KA, Sitzmann JV, Cameron JL (1993) Biliary tract anomalies associated with intestinal malrotation in the adult. Surgery 113:312–317

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Fujikawa, T., Takeda, H., Matsusue, S. et al. Anomalous duplicated cystic duct as a surgical hazard: Report of a case. Surg Today 28, 313–315 (1998). https://doi.org/10.1007/s005950050129

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s005950050129

Key Words

Navigation