Abstract
Double cystic duct is a rare anomaly of the biliary duct systems and it may cause intraoperative injury of the bile duct. This was detected by abdominal ultrasonography upon medical examination in a 67-year-old woman initially admitted to the hospital because of a gall bladder stone. The double cystic duct was suspected preoperatively upon MR cholangiopancreatography, and single incisional laparoscopic cholecystectomy (SILC) was performed. Intraoperative cholangiography through the main cystic duct revealed another cystic duct originating from the right hepatic duct, thus double cystic duct was diagnosed. In recent years, SILC has become increasingly widely selected as an operative procedure. Although double cystic duct was suspected before the surgery, intraoperative cholangiography, ensured that we could perform the SILC safely with no injury to the bile duct. There are no reports about SILC being performed for a case of double bile duct. We present our case with a review of the literature.
