A Case of Communicating Accessory Bile Duct

Shinichiro Kameyama, Tomonari Ishimine, Kaname Kurashita, Yoshitetsu Nagamine, Fumiko Kohakura and Seiichiro Shinzato

Department of Surgery, Urasoe General Hospital

We report a rare communicating accessory bile duct. A 60-year-old woman referred for cholelithiasis surgery was found in laparoscopic cholecystectomy to have a communicating accessory bile duct and in postoperative computed tomography during drip infusion cholecystocholangiography (DIC-CT) and cholangiography showing the aberrant bile duct joined to the anterior inferior duct (B5) and the gall bladder neck. Previous reports suggested that cases of various origins had intermingled. Careful dissection around the gallbladder neck is very important in laparoscopic cholecystectomy.

Key words
communicating accessory bile duct, bile duct duplication, double hepatic duct

Reprint requests
Shinichiro Kameyama Department of Surgery, Urasoe General Hospital
4-16-1 Iso, Urasoe, 901-2132 JAPAN

Accepted
November 28, 2007

To read the PDF file you will need Abobe Reader installed on your computer.