Case Reports
A case of the aberrant bile duct occlusion with acute cholecystolitiasis
2018 Volume 32 Issue 1 Pages 139-146
Details
2018 Volume 32 Issue 1 Pages 139-146
A 52-year-old woman was admitted with a complaint of right hypochondralgia. Laboratory results showed increased white blood cell counts and biliary enzymes. CT and MRCP showed swollen gallbladder and dilated intrahepatic bile duct of hepatic segment 5. A diagnosis of acute cholecystitis was thus made, and percutaneous transhepatic gallbladder drainage (PTGBD) was performed. Cholecystocholangiography using the PTGBD tube revealed dilation of the aberrant bile duct with complete U-shape occlusion.
These findings led to a diagnosis of cholecysto-cholangitis due to the obstruction. The patient underwent cholecystectomy with resection of the aberrant bile duct, extrahepatic common bile duct resection and choledochojejunostomy.
Histopathologically, the obstructive bile duct remained into slit form, in the inflammatory granulation and no malignant findings were observed in that area.
These anomalies of the biliary tract which had arisen from the cystic duct to the right hepatic duct are rare.
It is important to perform the procedure with proper recognition of these bile duct anomalies to prevent intraoperative injury.
