Double common bile duct

Sanjay Kumar Sahu ,Satendra Kumar ,Jaydip Ray

doi:10.4038/sljs.v32i3.8109

Abstract

Double common bile duct

Highlights

A rare congenital anomaly in which two common bile ducts exist is known as double common bile duct (DCBD)
The embryonic development of the liver, gallbladder system and biliary tree starts around the third week of gestation, when the primodial liver, designated as the hepatic diverticulum, is formed as an outgrowth of the endoderm in the distal part of the anterior foregut
Gastric cancer has been reported in patients with accessory common bile duct (ACBD) opening in the stomach where as gallbladder cancer and ampullary cancer is associated with ACBD openings in the second portion of the duodenum and pancreatic duct. [3,8,9] Double common bile duct has been described in coexistence with multiple diverticuli of the first portion of the duodenum, absence of the gall-bladder, congenital duodenal obstruction and annular pancreas, anomaly of pancreatic and common bile duct junction, congenital biliary atresia of extrahepaticbile ducts, congenital cysts of the non-ectopic common bile duct and cholangiocarcinoma in the duplicated bile duct

Summary

Introduction

A rare congenital anomaly in which two common bile ducts exist is known as double common bile duct (DCBD). A 70 year old male presented to the surgical clinic with a history of on and off pain in the right upper quadrant of the abdomen which radiated to the back for the last 7-8 months. Double common bile duct is a very rare anomaly in the western world, since Teilum identified only 24 cases in western literature until 1986 while Yamashita reviewing Japanese literature from 1968 to 2002 and found 47 patients with this anomaly.

Results

Conclusion