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.
Similar content being viewed by others
References
Moosman DA, Coller FA (1951) Prevention of traumatic injury to the bile ducts. Am J Surg 82:132–143
Hayes MA, Goldenberg IS, Bishop CC (1958) The developmental basis for bile duct anomalies. Surg Gynecol Obstet 107:447–456
Hamlin JA (1981) Biliary ductal anomalies. In: Berci G, Hamlin JA (eds) Operative biliary radiology. Williams and Wilkins, Baltimore, pp 109–135
Reid SH, Cho SR, Shaw CI, Turner MA (1986) Anomalous hepatic duct inserting into the cystic duct. Am J Roentgenol 147:1181–1182
Brandt CP, Eckhauser ML (1994) Rare bile duct anomalies. A case report and implications for laparoscopic cholecystectomy. Surg Endosc 8:329–331
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
Puente SG, Bannura GC (1983) Radiological anatomy of the biliary tract: Variations and congenital abnormalities. World J Surg 7:271–276
Tabrisky J, Pollack EL (1971) The aberrant divisional bile duct — a case report. Radiology 99:537–538
Pollack EL, Tabrisky J (1973) The aberrant divisional bile duct: a surgical hazard. Surgery 73:234–239
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
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
Charels K, Kloeppel G (1989) The bile duct system and its anatomical variations. Endoscopy 21:300–308
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
Chilimoniuk M (1976) Rare case of double cystic duct. Wiad Lek 29:1829–1831
Dia A, Venditelli F, Valleix D, Descottes B (1989) Double cystic duct. Apropos of a case. Ann Chir 43:306–308
Kubota Y (1991) Duplication of the cystic duct detected by endoscopic retrograde cholangiopancreatography [letter]. Endoscopy 23:308
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
Campbell KA, Sitzmann JV, Cameron JL (1993) Biliary tract anomalies associated with intestinal malrotation in the adult. Surgery 113:312–317
Author information
Authors and Affiliations
Rights 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
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/s005950050129