Cholecystohepatic Duct: A Biliary Duct Variant Resulting in Postcholecystectomy Bile Leak—Case Report and Review of Normal and Common Variant Biliary Anatomy

Although relatively infrequent, bile duct leaks are among the primary complications of hepatobiliary surgery and cholecystectomy given the large number of these operations performed annually around the world. Variant biliary anatomy increases the risk of surgical complications, especially if unrecog...

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Main Authors: Nathan Meyer, Sayf Al-Katib, Farnoosh Sokhandon
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Radiology
Online Access:http://dx.doi.org/10.1155/2019/6812793
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author Nathan Meyer
Sayf Al-Katib
Farnoosh Sokhandon
author_facet Nathan Meyer
Sayf Al-Katib
Farnoosh Sokhandon
author_sort Nathan Meyer
collection DOAJ
description Although relatively infrequent, bile duct leaks are among the primary complications of hepatobiliary surgery and cholecystectomy given the large number of these operations performed annually around the world. Variant biliary anatomy increases the risk of surgical complications, especially if unrecognized on preoperative imaging or intraoperatively. Presented here is a case of a patient with an unrecognized cholecystohepatic duct at the time of surgery leading to bile leak after cholecystectomy. Numerous factors made for a technically difficult surgery with obscuration of the true anatomy, ultimately resulting in transection of the cholecystohepatic duct. Understanding normal and variant biliary anatomy will help prevent avoidable complications of hepatobiliary surgery.
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spelling doaj-art-acfdab65a00a48ec87e61ce6137a65d72025-08-20T02:20:34ZengWileyCase Reports in Radiology2090-68622090-68702019-01-01201910.1155/2019/68127936812793Cholecystohepatic Duct: A Biliary Duct Variant Resulting in Postcholecystectomy Bile Leak—Case Report and Review of Normal and Common Variant Biliary AnatomyNathan Meyer0Sayf Al-Katib1Farnoosh Sokhandon2Beaumont Hospital, Oakland University William Beaumont School of Medicine, Department of Diagnostic Radiology and Molecular Imaging, 3601 W 13 Mile Rd, Royal Oak, MI 48073, USABeaumont Hospital, Oakland University William Beaumont School of Medicine, Department of Diagnostic Radiology and Molecular Imaging, 3601 W 13 Mile Rd, Royal Oak, MI 48073, USABeaumont Hospital, Oakland University William Beaumont School of Medicine, Department of Diagnostic Radiology and Molecular Imaging, 3601 W 13 Mile Rd, Royal Oak, MI 48073, USAAlthough relatively infrequent, bile duct leaks are among the primary complications of hepatobiliary surgery and cholecystectomy given the large number of these operations performed annually around the world. Variant biliary anatomy increases the risk of surgical complications, especially if unrecognized on preoperative imaging or intraoperatively. Presented here is a case of a patient with an unrecognized cholecystohepatic duct at the time of surgery leading to bile leak after cholecystectomy. Numerous factors made for a technically difficult surgery with obscuration of the true anatomy, ultimately resulting in transection of the cholecystohepatic duct. Understanding normal and variant biliary anatomy will help prevent avoidable complications of hepatobiliary surgery.http://dx.doi.org/10.1155/2019/6812793
spellingShingle Nathan Meyer
Sayf Al-Katib
Farnoosh Sokhandon
Cholecystohepatic Duct: A Biliary Duct Variant Resulting in Postcholecystectomy Bile Leak—Case Report and Review of Normal and Common Variant Biliary Anatomy
Case Reports in Radiology
title Cholecystohepatic Duct: A Biliary Duct Variant Resulting in Postcholecystectomy Bile Leak—Case Report and Review of Normal and Common Variant Biliary Anatomy
title_full Cholecystohepatic Duct: A Biliary Duct Variant Resulting in Postcholecystectomy Bile Leak—Case Report and Review of Normal and Common Variant Biliary Anatomy
title_fullStr Cholecystohepatic Duct: A Biliary Duct Variant Resulting in Postcholecystectomy Bile Leak—Case Report and Review of Normal and Common Variant Biliary Anatomy
title_full_unstemmed Cholecystohepatic Duct: A Biliary Duct Variant Resulting in Postcholecystectomy Bile Leak—Case Report and Review of Normal and Common Variant Biliary Anatomy
title_short Cholecystohepatic Duct: A Biliary Duct Variant Resulting in Postcholecystectomy Bile Leak—Case Report and Review of Normal and Common Variant Biliary Anatomy
title_sort cholecystohepatic duct a biliary duct variant resulting in postcholecystectomy bile leak case report and review of normal and common variant biliary anatomy
url http://dx.doi.org/10.1155/2019/6812793
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AT sayfalkatib cholecystohepaticductabiliaryductvariantresultinginpostcholecystectomybileleakcasereportandreviewofnormalandcommonvariantbiliaryanatomy
AT farnooshsokhandon cholecystohepaticductabiliaryductvariantresultinginpostcholecystectomybileleakcasereportandreviewofnormalandcommonvariantbiliaryanatomy