6533b870fe1ef96bd12d01d1

RESEARCH PRODUCT

An unexpected surprise at the end of a "quiet" cholecystectomy. A case report and review of the literature

V. FazioGiuseppe DamianoV. D. PalumboG. SpinelliA. ScioG. TomaselloA. MarrazzoS. BuscemiA. I. Lo Monte

subject

MaleLaparoscopic cholecystectomySettore MED/18 - Chirurgia GeneraleHumansAberrant bile ductCholecystectomyCholelithiasiMiddle AgedCholelithiasis; Laparoscopic cholecystectomy; Aberrant bile duct

description

BACKGROUND: Anatomic unexpected variations in biliary tree may be discovered during laparoscopic cholecystectomy. CASE REPORT: A 57-year-old man was admitted for abdominal pain, vomiting and mild jaundice. Abdominal ultrasonography revealed a gallbladder containing multiple stones and biliary sludge. All pre-operative investigations showed no anatomical variations in extrahepatic biliary tree. During surgical intervention an accessory extrahepatic duct, connecting the IV segment of the liver to the fundus of gallbladder, was discovered. CONCLUSIONS: Pre-operative routine investigations for gall stones diseases may not reveal anatomic variations of biliary tree.

yearjournalcountryeditionlanguage
2012-05-19
http://hdl.handle.net/10447/97214