Surgical Endoscopy

, Volume 8, Issue 4, pp 329–331 | Cite as

Rare bile duct anomalies

A case report and implications for laparoscopic cholecystectomy
  • C. P. Brandt
  • M. L. Eckhauser
Case Reports


Anomalies of the biliary ductal system are not uncommon, and are of variable clinical significance. A case is reported of an extremely unusual variation, with the cystic duct entering the left hepatic duct. Preoperative delineation of the anomaly in this patient by endoscopic retrograde cholangiography assisted in the subsequent performance of a safe laparoscopic cholecystectomy. Awareness of potential biliary variations is one factor in avoidance of ductal injuries during laparoscopic surgery.

Key words

Biliary anomalies Laparoscopic cholecystectomy 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Berci G (1992) Biliary ductal anatomy and anomalies. The role of intraoperative cholangiography during laparocsopic cholecystectomy. Surg Clin North Am 72: 1069–1075Google Scholar
  2. 2.
    Charels K, Kloppel G (1989) The bile duct system and its anatomical variations. Endoscopy 21: 300–307Google Scholar
  3. 3.
    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 104: 302–309Google Scholar
  4. 4.
    Hayes MA, Goldenberg IS, Bishop CC (1958) The developmental basis for bile duct anomalies. Surg Gynecol Obstet 107: 447–456Google Scholar
  5. 5.
    Klotz HP, Schlumpf R, Largiader F (1992) Injury to an accessory bile duct during laparoscopic cholecystectomy. Surg Laparosc Endosc 2: 317–320Google Scholar
  6. 6.
    Moosman DA (1970) The surgical significance of six anomalies of the biliary duct system. Surg Gynec Obstet 131: 655–660Google Scholar
  7. 7.
    Moosman DA, Coller FA (1951) Prevention of traumatic injury to the bile ducts. Am J Surg 82: 132–143Google Scholar
  8. 8.
    Quinn SF, Sangster W, Standage B, Schuman E, Gross G (1992) Biliary complications related to laparoscopic cholecystectomies: radiologic diagnosis and management. Surg Laparosc Endosc 2:279–286Google Scholar
  9. 9.
    Williams C, Williams AM (1955) Abnormalities of the bile ducts. Ann Surg 141: 598–605Google Scholar

Copyright information

© Springer-Verlag New York Inc. 1994

Authors and Affiliations

  • C. P. Brandt
    • 1
  • M. L. Eckhauser
    • 1
  1. 1.Department of Surgery, MetroHealth Medical CenterCase Western Reserve UniversityClevelandUSA

Personalised recommendations