A Case of Acute Cholecystitis with a Communicating Accessory Bile Duct that was Diagnosed Preoperatively and Safely Underwent Surgery

DOI Web Site Web Site 12 References

Bibliographic Information

Other Title
  • 術前に診断し安全に手術を行った副交通胆管枝併存急性胆嚢炎の1例
  • 術前に診断し安全に手術を行った副交通胆管枝併存急性胆囊炎の1例
  • ジュツゼン ニ シンダン シ アンゼン ニ シュジュツ オ オコナッタ フクコウツウタンカン シ ヘイソン キュウセイ タンノウエン ノ 1レイ

Search this article

Abstract

<p>A 42-year-old man visited our hospital for epigastric pain and was diagnosed with acute gallstone cholecystitis. He was admitted to our department after being treated with percutaneous transhepatic gallbladder drainage (PTGBD) in the Department of Gastroenterology. Preoperative cholangiography showed a bile duct-like structure connecting the cystic duct and the anterior branch of the right hepatic duct and a thin bile duct branching from it. There were complex bile duct abnormalities. Laparoscopic cholecystectomy was performed with the diagnosis of cholecystitis with a communicating accessory bile duct. During surgery, the gallbladder was removed while preserving the communicating accessory bile duct. The bile duct abnormality was confirmed by intraoperative cholangiography, and the surgery was performed safely. Although biliary tract abnormalities have many variations, a communicating accessory bile duct is extremely rare and increases the risk of intraoperative bile duct injury in cases with severe inflammation. This case of acute cholecystitis with a communicating accessory bile duct that was diagnosed preoperatively and could undergo laparoscopic surgery safely is reported.</p>

Journal

References(12)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top