Laparoscopic cannulation of an accessory hepatic duct: a case report

Anomalies of the cystic duct are commonly encountered by the operating surgeon. Accessory hepatic ducts directly entering the gallbladder are among the most difficult of these to identify. Because of magnification, laparoscopy provides oftentimes superior visualization of the biliary tree. Herein, we describe a case in which an accessory hepatic duct was identified, cannulated, and evaluated with cholangiography enabling appropriate operative treatment.