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An Extremely Rare Bile Leakage: Aberrant Bile Duct in Left Triangular Ligament (Appendix Fibrosa Hepatis)
İhsan Yıldız1, Yavuz Savaş Koca1, Sezayi Kantar1
1Department of General Surgery, Suleyman Demirel University Medical School, Isparta, Turkey.
Case Reports in Surgery
|April 19, 2018
Summary
This case report highlights a rare aberrant bile duct found in the liver's left triangular ligament. Surgeons recommend ligating this aberrant duct, particularly in female patients, to prevent surgical complications.
Area of Science:
- Gastroenterology and Hepatobiliary Surgery
- Anatomical Variations
- Surgical Case Reports
Background:
- Anatomical variations in bile ducts pose significant challenges for surgeons.
- Diagnostic tools include ultrasonography, CT, MRCP, and endoscopic imaging.
- Treatment options range from conservative management to endoscopic procedures and surgery.
Observation:
- A 67-year-old female patient presented with symptoms of dumping syndrome and hiatal hernia.
- Intraoperative findings revealed bile drainage from the left side of the liver.
- Magnetic resonance cholangiopancreatography (MRCP) identified an aberrant bile duct within the left triangular ligament of the liver.
Findings:
- Aberrant bile ducts were identified within the left triangular ligament (appendix fibrosa hepatis).
- These aberrant ducts were successfully ligated during surgery.
- The patient experienced an uneventful recovery and was discharged on postoperative day 7.
Implications:
- Recognizing and managing rare bile duct anomalies is crucial for surgical success.
- Ligation of aberrant bile ducts in the left triangular ligament is recommended, especially in female patients.
- This case underscores the importance of meticulous surgical planning and intraoperative vigilance for biliary anomalies.
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