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Double common bile duct with an ectopic drainage into the stomach
1Department of Surgery, Inje University Haeundae Paik Hostpital, Inje University College of Medicine, Busan, Korea.
Annals of Surgical Treatment and Research
|April 7, 2015
Summary
A rare double common bile duct (DCBD) anomaly was found during gastric cancer surgery. This case highlights the importance of recognizing DCBD to prevent bile duct injury and manage associated conditions.
Area of Science:
- Gastroenterology
- Surgical Anatomy
Background:
- Double common bile duct (DCBD) is a rare congenital biliary anomaly.
- DCBD is clinically significant due to associations with anomalous pancreaticobiliary ductal union (APBDU) and upper gastrointestinal cancers.
- Misidentification of a DCBD during surgery can lead to bile duct injury.
Observation:
- A 54-year-old male with gastric cancer underwent surgery.
- An incidental bile leak from a tubular structure near the hepatoduodenal ligament was detected.
- Intraoperative cholangiogram confirmed an accessory bile duct draining ectopically into the stomach.
Findings:
- The identified accessory bile duct was connected to the proximal common bile duct.
- This represents a rare case of DCBD with ectopic gastric drainage.
Implications:
- Accurate identification of DCBD is crucial during hepatobiliary and upper gastrointestinal surgery.
- Management strategies for DCBD depend on the presence of concomitant cancer and APBDU.
- This case underscores the need for awareness of rare biliary anomalies to improve patient outcomes.
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