Abstract
Double cystic duct in a single gallbladder is one of the least common variances encountered in the biliary system. This article presents a 54-year-old man who had a septated gallbladder with 2 separate cystic ducts. With intraoperative cholangiogram, he had successful laparoscopic cholecystectomy without any ductal injuries or complications.
Highlights
Abnormal anatomy of the biliary tree is often encountered during laparoscopic cholecystectomy (LC)
We present a case of double cystic duct in a septated gallbladder—one of the rarest forms of biliary abnormalities—which was successfully performed laparoscopically
Radiologist could not exclude a duplication but there was no hint of duplicated cystic duct on computed tomography
Summary
Abnormal anatomy of the biliary tree is often encountered during laparoscopic cholecystectomy (LC). These variances predispose patients to higher risks of ductal injury, postoperative complications, and need for convert laparotomy. We present a case of double cystic duct in a septated gallbladder—one of the rarest forms of biliary abnormalities—which was successfully performed laparoscopically. The most lateral structure, connected directly to the gallbladder and appearing to be the cystic duct, was dissected and isolated circumferentially. A second cholangiogram was performed and found flow through this structure to CBD, duodenum, common hepatic and intrahepatic radicals (Figure 2B). The configuration of the gallbladder was that of a single gallbladder Opening it revealed a longitudinal septation with a duct on each side. The patient was discharged on postoperative day 2 without any complications
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