Abstract
We report a case of a communicating accessory bile duct (CABD) with gallbladder stones. A 60-year-old woman pointed out having gallbladder stones at a mass examination was admitted to our hospital for surgical treatment. When she was in her fifties, dilatation of the common bile duct was detected, but endoscopic retrograde cholangiopancreatography (ERCP) revealed no abnormal findings. Thereafter her clinical course had been followed until this episode. Contrast enhanced computed tomography (CT) and magnetic resonance cholangiopancreatography (MRCP) showed gallbladder stones 2 cm in diameter in the gallbladder neck and mild dilatation of the intrahepatic and common bile ducts, but no abnormalities of the bile duct were detected before operation. Laparoscopic cholecystectomy was performed and a CABD between the gallbllader neck and the right anterior branch was detected by intraoperative findings and intraoperative cholangiography. The CABD was ligated and divided with surgical clips. Although increased serum concentrations of hepatic enzymes were observed in postoperative course temporaliry, she was discarged on day 9 after the operation.
