<abstract xmlns="http://www.w3.org/1999/xhtml"><p>The variations of the cystic duct are so common that only 30% of all humans present the classical anatomical arrangement between the common bile duct (CBD), the cystic duct, and adjacent arteries. Thus, it could be considered that anomalies of the biliary tree are a rule rather than an exception. Duplication of the cystic duct, however, is a very uncommon anatomical finding. In the Department of General and Digestive Surgery of the University Hospital Complex Albacete, a 73-year-old patient was admitted with symptoms of cholangitis. He underwent emergency surgery that found exacerbated chronic cholecystitis and dilation of the CBD. Cholecystectomy was performed with identification of a double cystic duct that drained separately in the CBD and exploration of the last revealed cholangitis without choledocholithiasis. The postoperative period progressed favourably, proceeding to discharge from the hospital with Kehr drainage closed. In conclusion, we consider that the routine use of intraoperative cholangiography when there is suspicion of anatomical variations of the biliary tree is mandatory to rule out lesions or alterations thereof.</p></abstract>

The variations of the cystic duct are so common that only 30% of all humans present the classical anatomical arrangement between the common bile duct (CBD), the cystic duct, and adjacent arteries. Thus, it could be considered that anomalies of the biliary tree are a rule rather than an exception. Duplication of the cystic duct, however, is a very uncommon anatomical finding. In the Department of General and Digestive Surgery of the University Hospital Complex Albacete, a 73-year-old patient was admitted with symptoms of cholangitis. He underwent emergency surgery that found exacerbated chronic cholecystitis and dilation of the CBD. Cholecystectomy was performed with identification of a double cystic duct that drained separately in the CBD and exploration of the last revealed cholangitis without choledocholithiasis. The postoperative period progressed favourably, proceeding to discharge from the hospital with Kehr drainage closed. In conclusion, we consider that the routine use of intraoperative cholangiography when there is suspicion of anatomical variations of the biliary tree is mandatory to rule out lesions or alterations thereof.

Double Cystic Duct as Rare Anatomic Variant

Department of General and Digestive Surgery

Department of General and Plastic Surgery

Journal of Biomedical and Clinical Research

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

{"article-title":"Double Cystic Duct as Rare Anatomic Variant"}

The variations of the cystic duct are so common that only 30% of all humans present the classical anatomical arrangement between the common bile duct (CBD),...

Double Cystic Duct as Rare Anatomic Variant

Publié en ligne: 26 déc. 2019

Pages: 69 - 71

Reçu: 21 avr. 2019

Accepté: 30 juil. 2019

DOI: https://doi.org/10.2478/jbcr-2019-0011

Mots clés
double cystic duct, common bile duct, cholangitis, cholangiography, cholecystectomy

© 2019 Antonio Serafin Valero-Liiian et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Double Cystic Duct as Rare Anatomic Variant

Publié en ligne: 26 déc. 2019

Pages: 69 - 71

Reçu: 21 avr. 2019

Accepté: 30 juil. 2019

DOI: https://doi.org/10.2478/jbcr-2019-0011

Mots clésdouble cystic duct, common bile duct, cholangitis, cholangiography, cholecystectomy

© 2019 Antonio Serafin Valero-Liiian et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Mots clés
double cystic duct, common bile duct, cholangitis, cholangiography, cholecystectomy