Identification of aberrant subvesical bile duct by using intraoperative fluorescent cholangiography: A case report.
Cholecystectomy
Ducts of Luschka
Intraoperative fluorescence cholangiography
Subvesical bile duct
Journal
International journal of surgery case reports
ISSN: 2210-2612
Titre abrégé: Int J Surg Case Rep
Pays: Netherlands
ID NLM: 101529872
Informations de publication
Date de publication:
2019
2019
Historique:
received:
27
03
2019
revised:
30
05
2019
accepted:
09
07
2019
pubmed:
30
7
2019
medline:
30
7
2019
entrez:
30
7
2019
Statut:
ppublish
Résumé
Aberrant subvesical bile ducts are rare structural anomaly located in the peri-hepatic gallbladder fossa. This duct poses the risk for intraoperative bile duct injury resulting in clinically relevant bile leakage. Aberrant subvesical bile duct was detected by preoperative magnetic resonance cholangiopancreatography in a 52-year old woman with gallbladder polypoid tumor harboring the risk to be gallbladder cancer. During open cholecystectomy with full thickness dissection, the aberrant duct was identified by intraoperative fluorescent cholangiography (IFC), and dissected safely. Aberrant subvesical bile ducts are mostly found unexpectedly as intra and/or postoperative bile leakage, and remain an important cause of bile duct injuries after laparoscopic cholecystectomy. IFC, which offers real-time imaging of biliary anatomy, has a potential to overcome these problems. We performed cholecystectomy by using IFC to identify the aberrant subvesical bile duct. To the best of our knowledge, this is the first report showing the fluorescence image of an aberrant subvesical bile duct in a state of nature.
Identifiants
pubmed: 31357101
pii: S2210-2612(19)30395-5
doi: 10.1016/j.ijscr.2019.07.013
pmc: PMC6664166
pii:
doi:
Types de publication
Journal Article
Langues
eng
Pagination
115-118Informations de copyright
Copyright © 2019 The Authors. Published by Elsevier Ltd.. All rights reserved.
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