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Gastroenterologia Japonica

, Volume 27, Issue 1, pp 102–107 | Cite as

A case of septum formation of the common hepatic duct combined with an anomalous hepatic duct of the caudate lobe

  • Hiroyoshi Furukawa
  • Tsuyoshi Hara
  • Tetsushi Taniguchi
Case Reports

Summary

A 66-year-old Japanese woman was admitted to our hospital with upper right quadrant pain and jaundice. Laboratory data indicated the presence of obstructive jaundice. A diagnosis of cholecystocholedocholithiasis was made by ultrasonography. Endoscopic retrograde cholangiography revealed choledochal stones with septum formation in a portion of the common hepatic duct up to where an anomalous bile duct drained from the caudate lobe of the liver. We performed a cholecystectomy, T-tube drainage, and partial resection of the septum when these findings were confirmed at surgery. Histological examination of the removed septum showed fibrous stroma under atrophic mucosa. To our knowledge, this is the eighteenth reported case in Japan of septum formation of the bile duct. However, no other such case to date has been seen combined with an anomalous hepatic duct of the caudate lobe of the liver. Selective cholangiography by choledochoscope and computed tomography with a thin guide-wire inserted to the bile duct were useful in confirming the origin of the anomalous bile duct. This case may serve as further evidence of the assumption that septum formation of the common (hepatic) bile duct is a malformation of congenital origin.

Key words

anomalous hepatic duct biliary abnormality septum formation of the common hepatic duct 

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References

  1. 1.
    Cornet J, Petrucci JM, Morin G: Lithiase biliare intrahepatique avec diaphragme congenital de l’hepatocholedoque. J Chir 1966; 19:269–272.Google Scholar
  2. 2.
    Caroli J, Soupault R, Mory G: Contribution a l’etude des retrecissements benins hilaires de la voie biliarie principale. Sem Hop Paris 1954;30:1701–1712.Google Scholar
  3. 3.
    Melham RE, Nahra K: Congenital diaphragm of the common hepatic duct. Br J Radiol 1966;39:392–394.CrossRefGoogle Scholar
  4. 4.
    Fisher MM, Chen S, Dekker A: Congenital diaphragm of the common hepatic duct. Gastroenterology 1968;54:605–610.PubMedGoogle Scholar
  5. 5.
    Tashiro K, Saitsu H, Nakayama T: A case report of septum formation of common bile duct. Jap J Gastroenterol Surg 1989;22: 2857–2861. (in Japanese)Google Scholar
  6. 6.
    Moosman DA, Coller FA: Prevention of traumatic injury to the bile ducts. Am J Surg 1951;82:132–143.PubMedCrossRefGoogle Scholar
  7. 7.
    Johnston EV, Anson BJ: Variations in the formation and vascular relationships of the bile ducts. Surg Gyn Obst 1952;94:669–686.PubMedGoogle Scholar
  8. 8.
    Healey JE, Schroy PC: Anatomy of the biliary ducts within the human liver. Arch Surg 1953;66:599–616.Google Scholar
  9. 9.
    Hachisuka K, Yamaguchi A, Isogai M, et al: Accessory hepatic duct and intraoperative injury of the accessory hepatic duct. Geka 1980;42:1519–1525. (in Japanese)Google Scholar
  10. 10.
    Matsunaga A, Tokunaga S, Takeuchi M, et al: A clinical study on the accessory hepatic duct. Jap J Gastroenterol Surg 1989;22: 65–71. (in Japanese)Google Scholar
  11. 11.
    Boyden EA: Congenital variations of the extrahepatic biliary tract. Minn Med 1944;27:932–933.Google Scholar

Copyright information

© The Japanese Society of Gastroenterology 1992

Authors and Affiliations

  • Hiroyoshi Furukawa
    • 1
  • Tsuyoshi Hara
    • 1
  • Tetsushi Taniguchi
    • 1
  1. 1.Department of SurgeryShimizu Kosei HospitalShimizuJapan

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