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Related Concept Videos

Gallbladder01:17

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The gallbladder is a small, pear-shaped organ that plays a crucial role in our digestive system. Measuring about 10 cm in length, it is comparable in size to a kiwi fruit and is located in a hollow area on the lower surface of the liver. The gallbladder's primary function is to store and concentrate bile, a fluid produced by the liver that aids in digestion.
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Chronic Bowel Disorders: Introduction01:17

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Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
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Diseases of the Liver and Gallbladder01:26

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Liver and gallbladder diseases are a significant health concern, with prominent conditions including cirrhosis, hepatitis, non-alcoholic fatty liver disease (NAFLD), and gallstones. Jaundice is a common manifestation of liver and biliary disease.
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Endoscopic Procedures V: ERCP01:26

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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
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Related Experiment Video

Updated: Sep 2, 2025

Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision
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Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision

Published on: May 2, 2025

224

Double common bile duct with cholelithiasis.

Tianming Lian1, Gaomin Liu2, Yaoming Zhang1

  • 1The 2nd Department of Hepatobiliary Surgery, Meizhou People's Hospital, Meizhou, China.

Journal of Minimal Access Surgery
|August 1, 2022
PubMed
Summary
This summary is machine-generated.

A rare double common bile duct anomaly was identified in an 82-year-old woman. Surgical removal of gallstones using choledochoscopy was successful, with good patient recovery and no recurrence.

Keywords:
Choledochoscopecholelithiasisdouble common bile ductlaparoscopicmagnetic resonance cholangiopancreatography

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Area of Science:

  • Gastroenterology and Hepatology
  • Surgical Anatomy
  • Medical Imaging

Background:

  • Double common bile duct (CBD) is a rare congenital biliary anomaly.
  • This anomaly poses significant clinical challenges, including potential biliary tract obstruction and surgical misidentification.
  • Misidentification during surgery can lead to residual stones and bile duct injury.

Purpose of the Study:

  • To report a case of a rare double choledochal variation (Type Vb) presenting with choledochal calculi.
  • To illustrate the diagnostic and therapeutic approach for this complex anomaly.

Main Methods:

  • Case presentation of an 82-year-old female with abdominal pain and vomiting.
  • Diagnostic workup included magnetic resonance imaging (MRI) to identify CBD lithiasis and anatomical variation.
  • Surgical intervention involved laparoscopy combined with choledochoscopic lithotomy for stone removal.

Main Results:

  • MRI confirmed common bile duct lithiasis, a double CBD variation, and moderate biliary dilation.
  • Laparoscopic and choledochoscopic procedures successfully removed all gallstones from both the left and right ducts.
  • The patient experienced a good post-operative recovery without evidence of recurrent cholelithiasis.

Conclusions:

  • Double common bile duct anomalies require careful preoperative diagnosis and surgical planning.
  • Choledochoscopic lithotomy is an effective minimally invasive technique for managing choledochal calculi in the setting of CBD variations.
  • Accurate identification of biliary anatomy is crucial to prevent surgical complications.