Common bile duct duplication: double bile ducts, double trouble

Chin, Jun Liong; Sengupta, Sanjay; Morrin, Martina; Murray, Frank E.; Patchett, Stephen

doi:10.1016/j.gie.2016.05.005

Cited by 4 publications

(3 citation statements)

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“…Endoscopic sphincterotomy with successful stone extraction can help us avoid further CBD exploration. However, due to the complex anatomy and difficult cannulation access, it may not be possible to access both EBDs [ 10 ]. In our case, although calculi were present in the right EBD, only those in the left EBD could be cannulated during ERC.…”

Section: Discussionmentioning

confidence: 99%

Duplicated extrahepatic bile duct (type Vb): An important rare anomaly

Varshney

Hussain

Selvakumar

et al. 2023

Ann Hepatobiliary Pancreat Surg

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Congenital duplication of the extrahepatic bile duct (DEBD) is an unusual anomaly of the biliary system. It occurs due to inability of the embryological duplex biliary system to regress. DEBD has various subtypes depending on the morphology and opening of the aberrant common bile duct. It can have distinct complications. We encountered a 38-year-old lady who experienced pain in the right upper abdomen along with a low-grade fever. Magnetic resonance cholangiopancreatography revealed DEBD with multiple calculi in the right hepatic duct (ductolithiasis) and joining of the right hepatic duct with the left hepatic duct in the intrapancreatic region. Endoscopic retrograde cholangiography failed to clear the calculi from the right duct. They were then managed by common bile duct exploration and roux-en-Y right hepaticojejunostomy for biliary drainage. Her postoperative period was uneventful. She is currently doing well after three months of follow-up. Hence, a proper preoperative delineation of such rare anomalies is essential. It could avoid inadvertent injury to the bile duct and operative complications.

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Section: Discussionmentioning

confidence: 99%

Duplicated extrahepatic bile duct (type Vb): An important rare anomaly

Varshney

Hussain

Selvakumar

et al. 2023

Ann Hepatobiliary Pancreat Surg

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“…To our knowledge, this is the first case to report a double choledochal variation with calculi treated by laparoscopy and choledochoscope in the Asian population, and only the third case reported to be Vb in the world. [ 4 ] MRCP is a non-invasive examination and has obvious advantages in bile duct imaging compared with other examinations, especially in cases of bile duct variation. [ 5 ]…”

Section: Discussionmentioning

confidence: 99%

Double common bile duct with cholelithiasis

Lian¹,

Liu²,

Zhang³

2022

Journal of Minimal Access Surgery

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Double common bile duct is a rare congenital anomaly among biliary anomalies. The anomaly has an important clinical implication because of its association with biliary tract obstruction. In addition, if one of the two common bile ducts is mistaken for the cystic duct during surgery, residual stones and bile duct injury are likely to occur. Here, we report a case of double choledochal variation (Type Vb) with choledochal calculi. An 82-year-old woman was admitted to the hospital due to mild pain in the upper abdomen accompanied by vomiting for 3 days. Magnetic resonance imaging suggested common bile duct lithiasis, variation of the common bile duct and moderate biliary tract dilation. Laparoscopy combined with choledochoscopic lithotomy was performed for choledocholithotomy. During the operation, left and right choledocholithotomy was performed, and all the gallstones were removed via choledochoscope. The patient’s post-operative recovery was good, and no recurrence of cholelith had been observed at the time of writing.

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“…Only 6 type V double CBD cases had been reported so far. Five of them were of type Va, [ 3 , 7 – 10 ] and the remaining one was of type Vb [ 9 ] (Table 1 ). All the 7 patients, including our patient, were female and suffered from abdominal pain.…”

Section: Discussionmentioning

confidence: 99%

Duplication of the extrahepatic bile duct

Fan

Khadaroo

et al. 2018

Medicine

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Rationale:Duplication of the extrahepatic bile duct is an extremely rare congenital anomaly of the biliary system.Patient concerns:A 44-year-old woman presented with a history of continuous upper abdominal pain and vomiting.Diagnoses:Magnetic resonance cholangiopancreatography (MRCP) disclosed diffuse dilatation of the intrahepatic and extrahepatic bile ducts. Endoscopic retrograde cholangiopancreatography (ERCP) showed the presence of two extrahepatic bile ducts with calculus at the distal end of the CBD.Interventions:Laparoscopic cholecystectomy (LC) was performed after an ERCP. Choledochoscopy, performed during the operation, showed duplicated common bile duct and the cystic duct was seen opening at the right side of the extrahepatic duct.Outcomes:The patient was doing well after 6 months of follow-up.Lessons:We reported a case of a double common duct with choledocholithiasis and gallstone. This rare anomaly may lead to cholangitis, common bile duct injury during surgery, malignancy occurrence, and should be treated with extreme care.

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Common bile duct duplication: double bile ducts, double trouble

Cited by 4 publications

References 0 publications

Duplicated extrahepatic bile duct (type Vb): An important rare anomaly

Duplicated extrahepatic bile duct (type Vb): An important rare anomaly

Double common bile duct with cholelithiasis

Duplication of the extrahepatic bile duct

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