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Type Va extrahepatic bile duct duplication: a case report
Bharat Mani Banjade1, Ashish Rajbhandari2, Rabin Koirala2
1Department of GI Surgery, Nepal Medical College & Teaching Hospital, Kathmandu, Nepal. drbharatmanibanjade@gmail.com.
Journal of Medical Case Reports
|October 29, 2019
Summary
This report details an unusual case of type Va extrahepatic bile duct duplication in a 63-year-old woman. The condition, complicated by gallstones and bile duct stones, required surgical intervention.
Area of Science:
- Gastroenterology and Hepatobiliary Surgery
- Congenital Anomalies of the Biliary System
Background:
- Extrahepatic bile duct duplication is an extremely rare congenital anomaly.
- Five types of this anomaly are recognized; this case presents a variant of type Va.
Observation:
- A 63-year-old woman from Nepal presented with symptoms of chronic calculous cholecystitis and choledocholithiasis.
- Diagnostic evaluation revealed an unusual variant of type Va extrahepatic bile duct duplication.
Findings:
- The patient had a duplicated extrahepatic biliary system, specifically type Va.
- Complications included choledocholithiasis (bile duct stones), cholangitis (bile duct inflammation), and chronic cholecystitis (gallbladder inflammation).
Implications:
- This case highlights the importance of recognizing rare biliary anomalies, which can be missed by standard diagnostic methods.
- Accurate diagnosis is crucial for guiding appropriate surgical management, such as cholecystectomy with hepatic ductoplasty and hepaticojejunostomy.
