Interposition of gallbladder - a rare extrahepatic biliary anomaly
Ravula Phani Krishna1, Anu Behari
1Sanjay gandhi postgraduate institute of medical sciences, Lucknow, Uttar Pradesh India.
The Indian Journal of Surgery
|December 4, 2012
Summary
A rare extrahepatic biliary anomaly, where the common hepatic duct entered the gallbladder, was identified and surgically corrected. Treatment involved gallbladder and cystic duct excision with a roux-en-Y hepaticojejunostomy.
Area of Science:
- Gastroenterology
- Surgical Anatomy
- Biliary System Anomalies
Background:
- Congenital anomalies of the extrahepatic biliary system are uncommon.
- Variations in biliary ductal anatomy can lead to diagnostic and therapeutic challenges.
Purpose of the Study:
- To report a rare case of an anomalous extrahepatic biliary system.
- To discuss the identification and management of this specific biliary anomaly.
Main Methods:
- Surgical exploration and anatomical identification of the biliary tree.
- Excision of the gallbladder and cystic duct.
- Reconstruction using a roux-en-Y hepaticojejunostomy.
Main Results:
- A unique anomaly was identified where the common hepatic duct entered the gallbladder.
- The cystic duct was found to drain the entire biliary system into the duodenum.
- Successful surgical correction was achieved with the described procedure.
Conclusions:
- This case highlights the importance of recognizing unusual biliary ductal anatomy.
- Surgical intervention, including hepaticojejunostomy, can effectively manage such rare anomalies.
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