Korean J Pancreas Biliary Tract.  2015 Jan;20(1):33-36. 10.15279/kpba.2015.20.1.33.

A Case of an Accessory Cystic Duct Draining into the Right Intrahepatic Duct

Affiliations
  • 1Division of Gastroenterology, Department of Internal Medicine, Gwangju Veterans Hospital, Gwangju, Korea. young.endoscopist@gmail.com

Abstract

Anatomic variations in the biliary tree may not be detected until adulthood and they can cause unexplained jaundice and biliary pain. Recognition of these anatomic variations is important to avoid an incorrect diagnosis and significant ductal injury during biliary surgery. Although there are numerous anatomic bile duct variations, an accessory cystic duct draining into the right hepatic duct is rare. We report a case of an accessory cystic duct draining into the right hepatic duct with cholelithiasis, in which the abnormality was identified by endoscopic retrograde cholangiopancreatography and magnetic resonance cholangiopancreatography and confirmed by laparoscopic cholecystectomy.

Keyword

Cystic duct; Abnormalities; Cholecystitis; Choledocholithiasis

MeSH Terms

Bile Ducts
Biliary Tract
Cholangiopancreatography, Endoscopic Retrograde
Cholangiopancreatography, Magnetic Resonance
Cholecystectomy, Laparoscopic
Cholecystitis
Choledocholithiasis
Cholelithiasis
Cystic Duct*
Diagnosis
Hepatic Duct, Common
Jaundice
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