Bile duct injury associated with laparoscopic cholecystectomy for a cholecystohepatic duct: A case report

Abstract

A 73-year-old woman presented to our hospital with bile leakage after laparoscopic cholecystectomy. Preoperative imaging studies had revealed the right anterior and posterior bile ducts joined separately to the neck of the gallbladder, an extremely rare variant of the biliary duct, known as cholecystohepatic duct. An intraoperative video revealed that the right anterior and posterior bile ducts were divided separately during surgery. Biliary reconstruction using bilioenteric reconstruction was considered difficult due to abscess formation; hence, we performed right hemihepatectomy after percutaneous intraabdominal abscess drainage.

To prevent intraoperative biliary injury, careful preoperative imaging evaluation of the biliary tract anatomy and operative planning is critical for patients with cholecystohepatic duct.