Abstract
Duplication of the common bile duct (DCBD) is a rare congenital anomaly, with no more than 100 published cases in the literature. The malignant rate of this condition may reach 25%. Besides, complicated morbidities could co-exist, which might put surgeons in a difficult situation. We report the case of a 36-year-old Vietnamese man, admitted due to epigastric pain and jaundice. The patient was then diagnosed with type II DCBD with comorbidities (choledocholithiasis, pancreaticobiliary maljunction). Cholecystectomy, lithotripsy, and accessory bile duct removal were performed. The patient was discharged uneventfully 1 week later. To conclude, we would like to emphasize the importance of basic knowledge in complicated hepatobiliary cases, for example, DBCD, to provide the optimal approach for these patients.
Similar content being viewed by others
References
Benson EA, Page RE (1976) A practical reappraisal of the anatomy of the extrahepatic bile ducts and arteries. Br J Surg 63(11):853–860
Knisely AS (2003) Biliary tract malformations. Am J Med Genet A 122A(4):343–350
Nakamura K, Mitsubuchi H, Miyayama H, Yatsunami K, Ishimatsu J, Yamamoto T et al (2003) Complete absence of bile and pancreatic ducts in a newborn: a new entity of congenital anomaly in hepato-pancreatic development. J Hum Genet 48(7):380–384
Gupta V, Chandra A (2012) Duplication of the extrahepatic bile duct. Congenit Anom 52(3):176–178
Fan X, He L, Khadaroo PA, Zhou D, Lin H (2018) Duplication of the extrahepatic bile duct: a case report and review of the literatures. Medicine (Baltimore) 97(8):e9953–e10053
Goor DA, Ebert PA (1972) Anomalies of the biliary tree. Report of a repair of an accessory bile duct and review of the literature. Arch Surg (Chicago, Ill : 1960). 104(3):302–9
Saito N, Nakano A, Arase M, Hiraoka T (1988) A case of duplication of the common bile duct with anomaly of the intrahepatic bile duct. Nihon Geka Gakkai zasshi 89(8):1296–1301
Choi E, Byun JH, Park BJ, Lee MG (2007) Duplication of the extrahepatic bile duct with anomalous union of the pancreaticobiliary ductal system revealed by MR cholangiopancreatography. Br J Radiol 80(955):e150–e154
Chen G, Wang H, Zhang L, Li Z, Bie P (2014) Double common bile duct with choledochal cyst and cholelithiasis: report of a case. Surg Today 44(4):778–782
Kim SW, Park DH, Shin HC, Kim IY, Park SH, Jung EJ et al (2008) Duplication of the extrahepatic bile duct in association with choledocholithiasis as depicted by MDCT. Korean J Radiol 9(6):550–554
Boyden EA (1932) The problem of the double ductus choledochus (an interpretation of an accessory bile duct found attached to the pars superior of the duodenum). Anat Rec 55(1):71–93
Yamashita K, Oka Y, Urakami A, Iwamoto S, Tsunoda T, Eto T (2002) Double common bile duct: a case report and a review of the Japanese literature. Surgery 131(6):676–681
Kamisawa T, Honda G (2019) Pancreaticobiliary maljunction: markedly high risk for biliary cancer. Digestion 99(2):123–125
Kamisawa T, Ando H, Suyama M, Shimada M, Morine Y, Shimada H (2012) Japanese clinical practice guidelines for pancreaticobiliary maljunction. J Gastroenterol 47(7):731–759
Ohuchida J, Chijiiwa K, Hiyoshi M, Kobayashi K, Konomi H, Tanaka M (2006) Long-term results of treatment for pancreaticobiliary maljunction without bile duct dilatation. Arch Surg 141(11):1066–1070
Chang J, Jang JY, Kang MJ, Jung W, Shin YC, Kim SW (2016) Clinicopathologic differences in patients with gallbladder cancer according to the presence of anomalous biliopancreatic junction. World J Surg 40(5):1211–1217
Ha STM, Ngan VK (2019) Double common bile duct: report of a case. Vietnam J Radiol. 34(05):81–84
Arora A, Sureka B, Kasana V, Patidar Y, Bansal K (2015) Common bile duct duplication: the more the murkier. Saudi J Gastroenterol 21(1):51–54
Acknowledgements
We thank the Department of Hepatobiliary surgery, VietDuc University hospital, Hanoi for their great support.
Funding
None.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Ethics Approval
Written informed consent was obtained from the patient for publication of this case report and accompanying images. The study was approved by our research committee, Viet Duc University Hospital, Hanoi, Vietnam.
Conflict of Interest
The authors declare that they have 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
About this article
Cite this article
Nguyen, L.T., Do, D.H., Thai, A.D. et al. Bile Duct Duplication, Choledocholithiasis, and Pancreaticobiliary maljunction. Indian J Surg 85, 158–161 (2023). https://doi.org/10.1007/s12262-022-03340-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12262-022-03340-4