Cystic Duct Reduplication

Perelman, Harry

doi:10.1001/jama.1961.63040080016020a

Cited by 24 publications

(11 citation statements)

References 4 publications

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“…This can only be established with certainty by demonstrating the valves of Heister in the aberrant duct. There have been four reports of a double cystic duct as in Case 2 (Chilimoniuk 1976, Perelman 1961, Flint 1922, Paul 1947, but this anomaly was not encountered in the 1200 dissections reviewed by Kune & Sali (1980). Our two patients may both have the same anomaly, since the upper extent of the aberrant duct was not fully explored in Case 1.…”

Section: Discussionmentioning

confidence: 98%

Accessory Cystic Duct — An Operative Hazard

Senapati

Wolfe

1984

J R Soc Med

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Summary: Two patients with duplicated cystic ducts are reported. This is a rare and poorly reported anomaly. The hazards of misdiagnosis are discussed. Case reportsCase 1: A 56-year-old man was admitted with dyspeptic symptoms and epigastric pain radiating through to the back. An oral cholecystogram revealed gallstones. At laparotomy he was found to have an accessory cystic duct ( Figure 1). The cystic duct was cannulated distal to the accessory duct but the latter was not opacified at operative cholangiography. The cystic duct was ligated at the site of cannulation to ensure that bile drainage from the liver was not compromised. Postoperatively he made an uneventful recovery. The gallbladder was anatomically normal with no septum. Case 2: A 55-year-old woman was admitted for elective cholecystectomy with a history of epigastric pain radiating through to the back. A plain X-ray of the abdomen revealed multiple gallstones which were confirmed at laparotomy. The operative cholangiogram is shown in Figure 2. In spite of ligating the cystic duct, dye filled the gallbladder through a second cystic duct which was shown to be draining into the right hepatic duct. This was subsequently dissected, identified and cannulated. Both ducts were then ligated. The patient made an uneventful postoperative recovery. Macroscopically there was no duplication of the gallbladder.

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Section: Discussionmentioning

confidence: 98%

Accessory Cystic Duct — An Operative Hazard

Senapati

Wolfe

1984

J R Soc Med

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“…1 Double cystic duct is an extremely rare anomaly. 2 Usually, a double cystic duct is associated with a double gallbladder. 3 Double cystic duct draining a single gallbladder has been documented in isolated case reports in the English 4-8 and European 9-13 literature, accounting for fewer than 20% published cases.…”

Section: Discussionmentioning

confidence: 99%

Double Cystic Duct: A Rare Biliary Anomaly Encountered at Laparoscopic Cholecystectomy

Shivhare

Sikora

2002

Journal of Laparoendoscopic & Advanced Surgical Techniques

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“…A single gallbladder with double cystic duct is an extremely rare biliary tract system anomaly; there were no reported cases in a study of the intraoperative cholangiograms of 3845 cases [1], [2]. If this anomaly diagnosed during or after surgery, rather than before surgery, it might lead to bile duct injury or bile leakage [3], [4].…”

Section: Introductionmentioning

confidence: 99%