2018 Volume 32 Issue 2 Pages 277-283
A 36-year-old woman was admitted to our hospital associated with BTD. An abdominal CT and MRCP demonstrated severe BTD. Preoperative radiographic examinations could not detect ABV. Preoperative diagnosis was type IVA of congenital BTD. At the time of operation, a cystic artery was running on the ventral side of the common hepatic duct. Two tubular cords were recognized from hilus hepatis to posterior side of common bile duct. An intraoperative cholangiography revealed the aberrant posterior hepatic duct and caudate branch. The holes of these two bile ducts were connected into one hole. Main and variant bile ducts were separately anastomosed to the jejunum. Her postoperative course was uneventful. There are no previous reports in the literature of the presence of congenital CBTD and rare ABV like this case. This case was regarded as the warning-like case when performing an operation
