A rare anatomical variation of the bile ducts: Cystic duct draining to the right hepatic duct

Güngör, Feyyaz; Sür, Yunus; Gür, Emine Özlem; Dılek, Osman Nuri

doi:10.5152/tjg.2018.18321

Cited by 4 publications

(3 citation statements)

References 4 publications

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“…Previous studies reported the prevalence of biliary duct anomalies as 12 %, with anomalous right hepatic duct emptying into the common hepatic or cystic duct as the most common one [11] . Although there are some reports about such aberrancies from the cystic duct to the right hepatic duct [2] , [3] , [5] , [6] , [7] , [8] , [9] , cystic duct into the left hepatic duct [12] , [13] , [14] , and even from the cystic duct to common hepatic duct [15] , [16] . It seems important evaluating the biliary duct preoperatively and intraoperatively of probable aberrant biliary duct variations for preventing bile duct injury.…”

Section: Discussionmentioning

confidence: 99%

“…Considering the common prevalence of anatomic variations in the biliary tree as mentioned in previous and newer studies [11] , [17] , cholecystectomy as the most prevalent surgery worldwide [18] , many case reports of different anomalies as mentioned above [2] , [3] , [5] , [6] , [7] , [8] , [9] , [12] , [13] , [14] , [15] , [16] , variations of the cystic duct as the most important form of anomalies from the surgical point of view [19] , elective nature of surgery or endoscopic diagnostic/therapeutic interventions in most cases of biliary tree diseases [20] , and preventable disasters without knowing the anatomy of the biliary tree, it may be the time to reinforce radiologic evaluations like MRCP, CT scan, ERCP or sonography before such interventions before or during the surgery/endoscopic interventions.…”

Section: Discussionmentioning

confidence: 99%

“…Our literature review of similar cases showed both young and old involved patients, either black or white, with no preference in sex, with different clinical presentations like abdominal pain, fever, and/or jaundice and different accompanying symptoms and signs suspicious to pancreatitis, evidence of gall stones, with different laboratory findings like elevated serum amylase, evidence of cholestasis, either preoperatively or intraoperatively or both and with different diagnostic tools like sonography, CT scan, ERCP or MRCP [2] , [3] , [5] , [6] , [7] , [8] , [9] .…”

Section: Presentation Of Casementioning

confidence: 99%

See 2 more Smart Citations

Cystic duct entering to right hepatic duct; a case report with literature review

Khoonsari¹,

Mansoorian²,

Namazi³

et al. 2023

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Presentation Of Casementioning

confidence: 99%

See 1 more Smart Citation

Cystic duct entering to right hepatic duct; a case report with literature review

Khoonsari¹,

Mansoorian²,

Namazi³

et al. 2023

International Journal of Surgery Case Reports

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Left-sided gallbladder ‘sinistroposition’ associated with an anatomical variant of cystic duct insertion: case report

Ribadeneira¹,

Gordon²,

Morocho

et al. 2022

Journal of Surgical Case Reports

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True left-sided gallbladder (LSGB) is a rare congenital anomaly with an incidence of 0.1–1.2%. It is more common in women than in men at a ratio of 5:1. Its etiology is unknown, although several theories have been proposed. The symptoms are similar to those of a normal gallbladder, which makes the preoperative diagnosis difficult despite imaging studies. In most cases, the diagnosis is achieved intraoperatively. LSGB is associated with biliary anomalies, and the incidence of biliary tract lesions is high. Four-port laparoscopic cholecystectomy is a safe procedure for LSGB. Surgical technique varies according to each case. Preoperative imaging studies have low sensitivity for diagnosis, and the surgeon should be familiar with ductal and vascular anatomical variants in addition to possessing the ability to change the conventional surgical technique to optimize the exposure and minimize the risk of bile duct injury.

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An uncommon case of right hepatic duct entering cystic duct associated to multiple complications of biliary tract disease: acute pancreatitis, hepatolithiasis, acute cholecystitis and hepatic abscess

Meza-Hernandez,

Zubillaga-Mares,

Serrano-Sanchez

et al. 2024

Journal of Surgical Case Reports

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Anatomical variations of the biliary tree pose diagnostic and treatment challenges. While most are harmless and often discovered incidentally during procedures, some can lead to clinical issues and biliary complications, making knowledge of these variants crucial to prevent surgical mishaps. Here, we present an unusual and clinically significant case. A 61-year-old man is admitted to the hospital with epigastric pain and diagnosis of pancreatitis of biliary origin and intermediate risk of choledocholithiasis. Magnetic resonance cholangiopancreatography (MRCP) reported hepatolithiasis and choledocholithiasis, whereas endoscopic retrograde cholangiopancreatography showed cystic drain of the right hepatic duct. One month later the patient presented again to the emergency room with increasing abdominal pain and a computed tomography that demonstrated the presence of hepatic abscess and acute cholecystitis. The patient underwent percutaneous drain abscess and a subtotal laparoscopic cholecystectomy. Biliary anatomical variants present challenges on the diagnostic investigations, interventional and surgical procedures, understanding the possible complications is essential.

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A rare anatomical variation of the bile ducts: Cystic duct draining to the right hepatic duct

Cited by 4 publications

References 4 publications

Cystic duct entering to right hepatic duct; a case report with literature review

Cystic duct entering to right hepatic duct; a case report with literature review

Left-sided gallbladder ‘sinistroposition’ associated with an anatomical variant of cystic duct insertion: case report

An uncommon case of right hepatic duct entering cystic duct associated to multiple complications of biliary tract disease: acute pancreatitis, hepatolithiasis, acute cholecystitis and hepatic abscess

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