A case of right hepatic duct entering cystic duct successfully treated by laparoscopic subtotal cholecystectomy through preoperatively placed biliary stent
Abstract 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 A 56-year-old woman was adm...
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Japan Surgical Society
2020-09-01
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| Series: | Surgical Case Reports |
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| Online Access: | http://link.springer.com/article/10.1186/s40792-020-00994-8 |
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| author | Hiroki Hirao HiroHisa Okabe Daisuke Ogawa Daisuke Kuroda Katsunobu Taki Shinjiro Tomiyasu Masahiko Hirota Taizo Hibi Hideo Baba Hiroki Sugita |
| author_facet | Hiroki Hirao HiroHisa Okabe Daisuke Ogawa Daisuke Kuroda Katsunobu Taki Shinjiro Tomiyasu Masahiko Hirota Taizo Hibi Hideo Baba Hiroki Sugita |
| author_sort | Hiroki Hirao |
| collection | DOAJ |
| description | Abstract 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 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 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. |
| format | Article |
| id | doaj-art-060c33db4b2940a587bcfb1f4cf0db1a |
| institution | Kabale University |
| issn | 2198-7793 |
| language | English |
| publishDate | 2020-09-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-060c33db4b2940a587bcfb1f4cf0db1a2025-08-20T03:32:40ZengJapan Surgical SocietySurgical Case Reports2198-77932020-09-01611410.1186/s40792-020-00994-8A case of right hepatic duct entering cystic duct successfully treated by laparoscopic subtotal cholecystectomy through preoperatively placed biliary stentHiroki Hirao0HiroHisa Okabe1Daisuke Ogawa2Daisuke Kuroda3Katsunobu Taki4Shinjiro Tomiyasu5Masahiko Hirota6Taizo Hibi7Hideo Baba8Hiroki Sugita9Department of Surgery, Kumamoto Regional Medical CenterDepartment of Surgery, Kumamoto Regional Medical CenterDepartment of Surgery, Kumamoto Regional Medical CenterDepartment of Surgery, Kumamoto Regional Medical CenterDepartment of Surgery, Kumamoto Regional Medical CenterDepartment of Surgery, Kumamoto Regional Medical CenterDepartment of Surgery, Kumamoto Regional Medical CenterDepartment of Pediatric Surgery and Transplantation, Kumamoto University Graduate School of Medical SciencesDepartment of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto UniversityDepartment of Surgery, Kumamoto Regional Medical CenterAbstract 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 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 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.http://link.springer.com/article/10.1186/s40792-020-00994-8Cystic duct anomalyRight hepatic ductLaparoscopic cholecystectomyEndoscopic nasobiliary drainage catheter |
| spellingShingle | Hiroki Hirao HiroHisa Okabe Daisuke Ogawa Daisuke Kuroda Katsunobu Taki Shinjiro Tomiyasu Masahiko Hirota Taizo Hibi Hideo Baba Hiroki Sugita A case of right hepatic duct entering cystic duct successfully treated by laparoscopic subtotal cholecystectomy through preoperatively placed biliary stent Surgical Case Reports Cystic duct anomaly Right hepatic duct Laparoscopic cholecystectomy Endoscopic nasobiliary drainage catheter |
| title | A case of right hepatic duct entering cystic duct successfully treated by laparoscopic subtotal cholecystectomy through preoperatively placed biliary stent |
| title_full | A case of right hepatic duct entering cystic duct successfully treated by laparoscopic subtotal cholecystectomy through preoperatively placed biliary stent |
| title_fullStr | A case of right hepatic duct entering cystic duct successfully treated by laparoscopic subtotal cholecystectomy through preoperatively placed biliary stent |
| title_full_unstemmed | A case of right hepatic duct entering cystic duct successfully treated by laparoscopic subtotal cholecystectomy through preoperatively placed biliary stent |
| title_short | A case of right hepatic duct entering cystic duct successfully treated by laparoscopic subtotal cholecystectomy through preoperatively placed biliary stent |
| title_sort | case of right hepatic duct entering cystic duct successfully treated by laparoscopic subtotal cholecystectomy through preoperatively placed biliary stent |
| topic | Cystic duct anomaly Right hepatic duct Laparoscopic cholecystectomy Endoscopic nasobiliary drainage catheter |
| url | http://link.springer.com/article/10.1186/s40792-020-00994-8 |
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