Hepaticocystic Duct in an Era of Laparoscopic Cholecystectomy
| Autor: | Jignesh A. Gandhi, Sadashiv N. Chaudhari, Amay Banker, Pravin H. Shinde |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
RD1-811 agenesis of common bile duct medicine.medical_treatment Case Report Diagnostic dilemma 03 medical and health sciences extrahepatic biliary tree 0302 clinical medicine medicine Laparoscopic cholecystectomy Common bile duct business.industry Gallbladder hepaticocystic duct medicine.disease Surgery medicine.anatomical_structure Biliary tract 030220 oncology & carcinogenesis Agenesis 030211 gastroenterology & hepatology Obstructive jaundice Cholecystectomy business |
| Zdroj: | The Surgery Journal The Surgery Journal, Vol 07, Iss 03, Pp e138-e141 (2021) |
| ISSN: | 2378-5136 2378-5128 |
| DOI: | 10.1055/s-0041-1731428 |
| Popis: | The biliary tract is notorious for its variable anatomy. A persistent hepaticocystic duct with agenesis of common bile duct is a rare biliary anomaly that creates a diagnostic dilemma and can add to the operative difficulties. It is important to diagnose this anomaly preoperatively since the gallbladder forms an integral part of bilioenteric continuity and an inadvertent cholecystectomy can lead to a surgical catastrophe. If diagnosed, surgeons can plan definitive treatment in the form of biliary diversion. We present a case of a 22-year-old man, who presented to us with obstructive jaundice and cholangitis. The biliary system was decompressed initially with a percutaneous transhepatic biliary drainage and an endoscopic retrograde cholangiogram established the diagnosis of a type IV hepaticocystic duct preoperatively in our case. Since diagnosis was made prior to operative intervention, we were able to perform a cholecystojejunostomy to maintain biliary continuity. The patient was discharged with an uneventful postoperative course. To our knowledge, this is the first report of such a variation being diagnosed preoperatively. We are also presenting a brief review of literature about persistent hepaticocystic ducts and the embryological basis of their origin. |
| Databáze: | OpenAIRE |
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