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      Double cystic duct preoperatively diagnosed and successfully treated with laparoscopic cholecystectomy: A case report

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          Highlights

          • A single gallbladder with a double cystic duct is a very rare finding.

          • MRCP showed strong suspicion of a single gallbladder with a double cystic duct and the definite diagnosis of a double cystic duct was made by ERC.

          • Laparoscopic cholecystectomy could be successfully performed in combination with intraoperative cholangiography for double cystic duct.

          Abstract

          Introduction

          A single gallbladder with a double cystic duct is a very rare finding. In addition, few cases with this rare condition are preoperatively diagnosed. However, the preoperative confirmation or suspicion of this rare condition could facilitate safe laparoscopic cholecystectomy, which is a minimally invasive therapeutic modality for gallbladder disease. We herein present a case of gallstone disease in a patient with a double cystic duct who was preoperatively diagnosed and successfully treated with laparoscopic cholecystectomy.

          Presentation of case

          A 57-year-old woman was admitted to our hospital with epigastric pain. Gallstone disease in the gallbladder and common bile duct was diagnosed by ultrasonography and computed tomography. Magnetic resonance cholangiopancreatography (MRCP) and endoscopic retrograde cholangiography (ERC) revealed that the aberrant cystic duct arose from the cystic duct and communicated with the intrahepatic bile duct of the posterior segmental branch. Laparoscopic cholecystectomy was successfully performed in combination with intraoperative cholangiography.

          Discussion

          If an anomaly of the biliary duct system is not identified during surgery, it may turn out to be a bile leak. The preoperative diagnosis of a double cystic duct allows laparoscopic cholecystectomy to be performed safely in combination with intraoperative cholangiography.

          Conclusions

          A single gallbladder with double cystic duct is a very rare anomaly. However, laparoscopic surgery can be facilitated by the use of preoperative and intraoperative images.

          Related collections

          Most cited references 13

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          Bile leaks from the duct of Luschka (subvesical duct): a review.

          Gallstone disease remains the most common disease of the digestive system in Western societies and laparoscopic cholecystectomy one of the most common surgical procedures performed. Bile leaks remain a significant cause of morbidity for patients undergoing this procedure. These occur in 0.2-2% of cases. The bile ducts of Luschka, or subvesical ducts, are small ducts which originate from the right hepatic lobe, course along the gallbladder fossa, and usually drain in the extrahepatic bile ducts. Injuries to these ducts are the second most frequent cause of postcholecystectomy bile leaks.
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            Anomalies of the biliary tree. Report of a repair of an accessory bile duct and review of the literature.

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              • Record: found
              • Abstract: not found
              • Article: not found

              Double cystic duct.

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                Author and article information

                Contributors
                Journal
                Int J Surg Case Rep
                Int J Surg Case Rep
                International Journal of Surgery Case Reports
                Elsevier
                2210-2612
                13 June 2017
                2017
                13 June 2017
                : 37
                : 102-105
                Affiliations
                [a ]Department of Surgery, Faculty of Medicine, Saga University, Japan
                [b ]Department of Radiology, Faculty of Medicine, Saga University, Japan
                Author notes
                [* ]Corresponding author at: Department of Surgery, Faculty of Medicine, Saga University, 5-1-1 Nabeshima Saga, 849-8501, Japan.Department of SurgeryFaculty of MedicineSaga UniversityJapan noshiro@ 123456cc.saga-u.ac.jp
                Article
                S2210-2612(17)30266-3
                10.1016/j.ijscr.2017.06.013
                5485761
                28651227
                © 2017 Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd.

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                Categories
                Case Report

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