Skip to main content

Advertisement

SpringerLink
Log in

Aberrant Right Posterior Sectoral Duct During Pancreaticoduodenectomy: a Case Series and Review of Literature

  • Original Article
  • Published:
Indian Journal of Surgery Aims and scope Submit manuscript

Abstract

The present article discusses the clinical and radiological features of 2 cases of periampullary carcinoma associated with aberrant right posterior sectoral duct, how it can complicate the pancreaticoduodenectomy, and the possible ways to manage this rare and difficult situation.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

Data Availability

Not applicable.

Code Availability

Not applicable.

References

  1. Macdonald DB, Haider MA, Khalili K, Kim TK, O’Malley M, Greig PD, Grant DR, Lockwood G, Cattral MS (2005) Relationship between vascular and biliary anatomy in living liver donors. AJR Am J Roentgenol 185(1):247–252. https://doi.org/10.2214/ajr.185.1.01850247

    Article  PubMed  Google Scholar 

  2. Catalano OA, Singh AH, Uppot RN, Hahn PF, Ferrone CR, Sahani DV (2008) Vascular and biliary variants in the liver: implications for liver surgery. Radiographics 28(2):359–378. https://doi.org/10.1148/rg.282075099

    Article  PubMed  Google Scholar 

  3. Mortelé KJ, Ros PR (2001) Anatomic variants of the biliary tree: MR cholangiographic findings and clinical applications. AJR Am J Roentgenol 177(2):389–394. https://doi.org/10.2214/ajr.177.2.1770389

    Article  PubMed  Google Scholar 

  4. Huang TL, Cheng YF, Chen CL, Lee TY (1996) Variants of the bile ducts: clinical application in the potential donor of living related hepatic transplantation. Transplant Proc 28:1669–1670

    CAS  PubMed  Google Scholar 

  5. Lillemoe KD, Petrofski JA, Choti MA, Venbrux AC, Cameron JL (2004) Isolated right segmental hepatic duct injury: a diagnostic and therapeutic challenge. J Gastrointest Surg 4:168–177

    Article  Google Scholar 

  6. Azelle GS, Lee MJ, Mueller PR (1994) Cholangiographic segmental anatomy of the liver. Radio-Graphics 14:1005–1013

    Google Scholar 

  7. Strasberg SM, Hertl M, Soper NJ (1995) An analysis of the problem of biliary injury during laparoscopic cholecystectomy. J Am Coll Surg 180:101–125

    CAS  PubMed  Google Scholar 

  8. Varotti G, Gondolesi GE, Goldman J, Wayne M, Florman SS (2004) Anatomic variations in right liver living donors. J Am Coll Surg 198:577–582

    Article  Google Scholar 

  9. Ohkubo M, Nagino M, Kamiya J, Yuasa N, Oda K, Arai T et al (2004) Surgical anatomy of the bile ducts at the hepatic hilum as applied to living donor liver transplantation. Ann Surg 239:82–86

    Article  Google Scholar 

  10. Christensen RA, van Sonnenberg E, Nemcek AA Jr, D’Agostino HB (1992) Inadvertent ligation of the aberrant right hepatic duct at cholecystectomy: radiologic diagnosis and therapy. Radiology 183(2):549–553

    Article  CAS  Google Scholar 

  11. Perera MT, Monaco A, Silva MA, Bramhall SR, Mayer AD, Buckels JA, Mirza DF (2011) Laparoscopic posterior sectoral bile duct injury: the emerging role of non-operative management with improved long-term results after delayed diagnosis. Surg Endosc 25(8):2684–2691

    Article  CAS  Google Scholar 

  12. Manesis K, Nikou E, Zaravinos S, Bouboulis P, Oikonomou C, Kalliouris DN, Filippou D, Skandalakis P (2018) A case of a right accessory hepatic duct diagnosed during a Whipple procedure. Int J Surg Case Rep 51:210–212. https://doi.org/10.1016/j.ijscr.2018.08.034

    Article  PubMed  PubMed Central  Google Scholar 

  13. Elbanna KY, Jang HJ, Kim TK (2020) Imaging diagnosis and staging of pancreatic ductal adenocarcinoma: a comprehensive review. Insights Imaging 11(1):58. https://doi.org/10.1186/s13244-020-00861-y

    Article  PubMed  PubMed Central  Google Scholar 

  14. Lee VS, Morgan GR, Lin JC, Nazzaro CA, Chang JS, Teperman LW, Krinsky GA (2004) Liver transplant donor candidates: associations between vascular and biliary anatomic variants. Liver Transpl 10(8):1049–1054. https://doi.org/10.1002/lt.20181

    Article  PubMed  Google Scholar 

  15. Chen JS, Yeh BM, Wang ZJ, Roberts JP, Breiman RS, Qayyum A, Coakley FV (2005) Concordance of second-order portal venous and biliary tract anatomies on MDCT angiography and MDCT cholangiography. AJR Am J Roentgenol 184(1):70–74. https://doi.org/10.2214/ajr.184.1.01840070

    Article  PubMed  Google Scholar 

  16. Hyodo T, Kumano S, Kushihata F, Okada M, Hirata M, Tsuda T et al (2012) CT and MR cholangiography: advantages and pitfalls in perioperative evaluation of biliary tree. Br J Radiol 85(1015):887–896. https://doi.org/10.1259/bjr/21209407

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Dumonceau JM, Tringali A, Papanikolaou IS, Blero D, Mangiavillano B, Schmidt A, Vanbiervliet G, Costamagna G, Devière J, García-Cano J, Gyökeres T, Hassan C, Prat F, Siersema PD, van Hooft JE (2017) Endoscopic biliary stenting: indications, choice of stents, and results: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline - Updated October 2017. Endoscopy 50(9):910–930. https://doi.org/10.1055/a-0659-9864

    Article  Google Scholar 

  18. Strasberg SM, Brunt LM (2010) Rationale and use of the critical view of safety in laparoscopic cholecystectomy. J Am Coll Surg 211(1):132–138. https://doi.org/10.1016/j.jamcollsurg.2010.02.053

    Article  PubMed  Google Scholar 

  19. Sofi AA, Alaradi OH, Abouljoud M, Nawras AT (2011) Aberrant right hepatic duct draining into the cystic duct: clinical outcomes and management. Gastroenterol Res Pract 2011:458915. https://doi.org/10.1155/2011/458915

    Article  PubMed  PubMed Central  Google Scholar 

  20. Dahlaan DDA, Abdullah NAN, Julaihi R (2015) Low convergence of hepatic ducts: a rare extrahepatic biliary tree anatomical variation. Int J Hepatobiliary Pancreat Dis 5:92–96

    Article  Google Scholar 

  21. Hwang S, Lee SG, Lee YJ, Ha TY, Ko GY, Song GW (2007) Delayed-onset isolated injury of the right posterior segment duct after laparoscopic cholecystectomy: a report of hepatic segmental atrophy induction. Surg Laparosc Endosc Percutan Tech 17(3):203–205. https://doi.org/10.1097/SLE.0b013e31804d4488

    Article  PubMed  Google Scholar 

  22. Li J, Frilling A, Nadalin S, Radunz S, Treckmann J, Lang H, Malago M, Broelsch CE (2010) Surgical management of segmental and sectoral bile duct injury after laparoscopic cholecystectomy: a challenging situation. J Gastrointest Surg 14(2):344–351. https://doi.org/10.1007/s11605-009-1087-0

    Article  PubMed  Google Scholar 

  23. Rapp GA, Nelson KJ, Imagawa DK, Huang JY, Lee JG (2017) Management of an Accessory Bile Duct Leak Following Pancreaticoduodenectomy: a Novel Approach Utilizing a Percutaneous and Endoscopic Rendezvous. ACG Case Rep J 4:e2. https://doi.org/10.14309/crj.2017.2

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Surgical Oncology, RCC Trivandrum, Thiruvananthapuram, Kerala, India

    Jino Sebastian, Vijayasarathy Siddhaiyan, Wagh Mira Sudham, K. Chandramohan & Arun Peter Mathew

  2. Department of Radiodiagnosis, RCC Trivandrum, Thiruvananthapuram, Kerala, India

    C. A. Rakesh

Authors
  1. Jino Sebastian
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Vijayasarathy Siddhaiyan
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Wagh Mira Sudham
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. C. A. Rakesh
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. K. Chandramohan
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Arun Peter Mathew
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Arun Peter Mathew.

Ethics declarations

Ethics Approval

Not applicable.

Consent to Participate

Obtained.

Consent for Publication

Obtained.

Conflict of Interest

The authors declare no competing interests.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Sebastian, J., Siddhaiyan, V., Sudham, W.M. et al. Aberrant Right Posterior Sectoral Duct During Pancreaticoduodenectomy: a Case Series and Review of Literature. Indian J Surg 84 (Suppl 2), 504–509 (2022). https://doi.org/10.1007/s12262-021-03139-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12262-021-03139-9

Keywords

Search

Navigation