AN OPERATED CASE OF GALLBLADDER STONE WITH DOUBLE CYSTIC DUCT

• Published in: Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) Vol. 62; no. 2; pp. 483 - 486
• Main Authors: OKAUCHI, Hiroshi, SEKI, Keitaro, SONODA, Hiromichi, MUTO, Fumitaka, KURIOKA, Hideaki
• Format: Journal Article
• Language: English
• Published: Japan Surgical Association 25.02.2001
• Subjects: accessory cystic duct
• ISSN: 1345-2843; 1882-5133
• DOI: 10.3919/jjsa.62.483

A 62-year-old man complaining of epigastric pain was diagnosed as having gallbladder stone on close examinations. Since he had undergone a distal gastrectomy with Billroth II reconstruction for duodenal ulcer at the age of 23, endoscopic retrograde cholangiopancreatography (ERCP) was impossible and we could not obtain detailed information about the biliary system before operation. Considering his previous history of undergoing the gastrectomy, a cholecystectomy under laparotomy was performed when the cystic duct and cystic artery were confirmed at the Calot triangle. However, further pursuit of the procedure revealed a cord running from the neck of the gallbladder to porta hepatis other than them. Intraoperative fluoroscopy through the cord visualized around the root of the right hepatic duct that demonstrated there was a communication with the hepatic duct. Double cystic duct was diagnosed and the ligature and resection were performed. Double cystic duct accounts for as rare as 0.03% of all indications for biliary operation, however, attention should be paid to the possibility of the disease in performing operation in order to prevent postoperative bile leakage.