A case of right hepatic duct entering cystic duct successfully treated by laparoscopic subtotal cholecystectomy through preoperatively placed biliary stent.
Cystic duct anomaly
Endoscopic nasobiliary drainage catheter
Laparoscopic cholecystectomy
Right hepatic duct
Journal
Surgical case reports
ISSN: 2198-7793
Titre abrégé: Surg Case Rep
Pays: Germany
ID NLM: 101662125
Informations de publication
Date de publication:
25 Sep 2020
25 Sep 2020
Historique:
received:
22
07
2020
accepted:
18
09
2020
entrez:
25
9
2020
pubmed:
26
9
2020
medline:
26
9
2020
Statut:
epublish
Résumé
Laparoscopic cholecystectomy is a well-established surgical procedure and is one of the most commonly performed gastroenterological surgeries. Therefore, strategy for the management of rare anomalous cystic ducts should be determined. A 56-year-old woman was admitted to our hospital owing to upper abdominal pain and diagnosed with acute cholecystitis. Magnetic resonance cholangiopancreatography suspected that several small stones in gallbladder and the right hepatic duct drained into the cystic duct. Endoscopic retrograde cholangiopancreatography confirmed the cystic duct anomaly, and an endoscopic nasobiliary drainage catheter (ENBD) was placed at the right hepatic duct preoperatively. Intraoperative cholangiography with ENBD confirmed the place of division in the gallbladder, and laparoscopic subtotal cholecystectomy was safely performed. The present case exhibited rare right hepatic duct anomaly draining into the cystic duct, which might have caused biliary tract disorientation and bile duct injury (BDI) intraoperatively. Any surgical technique without awareness of this anomaly preoperatively might insufficiently prevent BDI, and preoperative ENBD would facilitate safe and successful surgery.
Sections du résumé
BACKGROUND
BACKGROUND
Laparoscopic cholecystectomy is a well-established surgical procedure and is one of the most commonly performed gastroenterological surgeries. Therefore, strategy for the management of rare anomalous cystic ducts should be determined.
CASE PRESENTATION
METHODS
A 56-year-old woman was admitted to our hospital owing to upper abdominal pain and diagnosed with acute cholecystitis. Magnetic resonance cholangiopancreatography suspected that several small stones in gallbladder and the right hepatic duct drained into the cystic duct. Endoscopic retrograde cholangiopancreatography confirmed the cystic duct anomaly, and an endoscopic nasobiliary drainage catheter (ENBD) was placed at the right hepatic duct preoperatively. Intraoperative cholangiography with ENBD confirmed the place of division in the gallbladder, and laparoscopic subtotal cholecystectomy was safely performed.
CONCLUSIONS
CONCLUSIONS
The present case exhibited rare right hepatic duct anomaly draining into the cystic duct, which might have caused biliary tract disorientation and bile duct injury (BDI) intraoperatively. Any surgical technique without awareness of this anomaly preoperatively might insufficiently prevent BDI, and preoperative ENBD would facilitate safe and successful surgery.
Identifiants
pubmed: 32975684
doi: 10.1186/s40792-020-00994-8
pii: 10.1186/s40792-020-00994-8
pmc: PMC7519020
doi:
Types de publication
Journal Article
Langues
eng
Pagination
221Références
J Am Coll Surg. 1995 Jan;180(1):101-25
pubmed: 8000648
Surg Case Rep. 2019 Mar 25;5(1):46
pubmed: 30911867
Surg Endosc. 2002 Feb;16(2):359
pubmed: 11967701
Surg Laparosc Endosc Percutan Tech. 1999 Jun;9(3):211-2
pubmed: 10804003
AJR Am J Roentgenol. 1999 Apr;172(4):955-9
pubmed: 10587128
Hepatogastroenterology. 2005 May-Jun;52(63):719-21
pubmed: 15966190
Korean J Radiol. 2003 Apr-Jun;4(2):85-90
pubmed: 12845303
Adv Surg. 2019 Sep;53:145-160
pubmed: 31327443