Recognition and Surgical Management of Aberrant Right Hepatic Duct Originating From the Cystic Duct

An aberrant right hepatic duct is a rare congenital anomaly of the biliary system. Failure to recognize these anomalies can result in serious complications. In this case, we present a patient who underwent laparoscopic cholecystectomy for chronic cholecystitis. Post-operatively she developed a bile...

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Bibliographic Details
Published inThe American surgeon Vol. 90; no. 1; p. 154
Main Authors Liggett, Marjorie R, Rossi, Isolina, Rossi, Matthew B
Format Journal Article
LanguageEnglish
Published United States 01.01.2024
Subjects
Biliary Tract Diseases - surgery
Cholecystectomy, Laparoscopic - adverse effects
Cystic Duct - abnormalities
Cystic Duct - surgery
Female
Hepatic Duct, Common - surgery
Humans
minimally invasive surgery
general surgery
biliary
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Summary:An aberrant right hepatic duct is a rare congenital anomaly of the biliary system. Failure to recognize these anomalies can result in serious complications. In this case, we present a patient who underwent laparoscopic cholecystectomy for chronic cholecystitis. Post-operatively she developed a bile leak for which she underwent reoperation. On re-exploration, she was discovered to have a cystic stump leak and a rare Hisatsugu type V anatomic anomaly of the right hepatic duct originating from the cystic duct. She was subsequently managed with oversewing of the cystic duct stump and drainage. This case demonstrates the importance of recognizing these rare anomalies and the challenges of management in a rural, resource-limited setting.
ISSN:1555-9823
DOI:10.1177/00031348231211028