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J Minim Access Surg. 2018 Nov 9. doi: 10.4103/jmas.JMAS_199_18. [Epub ahead of print]

High insertion of cystic duct at the gallbladder fundus: An undescribed anomaly!

Author information

1
Department of General Surgery, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.

Abstract

The anatomy of the biliary tree is complex, and its variations of both intra- and extra-hepatic bile ducts can be found in approximately 30% of the general population. These variations are not picked up on routine pre-operative investigations of patients planned for a laparoscopic cholecystectomy (LC) and often present as an unusual 'surprise' and a challenge that can make dissection in the Calot's triangle difficult leading to iatrogenic injury. We present a case of a 53-year-old female with an undescribed anomaly encountered during an LC. There was a high insertion of the cystic duct into the fundus of the gallbladder. No such anomaly has been described in literature till date.

KEYWORDS:

Anatomy; Calot's triangle; cholecystectomy; cystic duct; laparoscopy

PMID:
30416140
DOI:
10.4103/jmas.JMAS_199_18
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