Schofield A, Hankins J, Sutherland F
Department of Surgery, University of Calgary, Calgary, Alberta, Canada.
HPB (Oxford). 2003;5(4):261-3. doi: 10.1080/13651820310001388.
Cholecystohepatic ducts are rare congenital variants of the biliary tree.
An 81-year-old woman presented with biliary colic and elevated liver function tests. An ERCP demonstrated a common bile duct stone and stricture of the common hepatic duct. An operative cholangiogram demonstrated an atrophic common hepatic duct and retrograde filling of the gallbladder through a large cholecystoheptic duct. The patient had a cholecystectomy and reconstructive cholecystohepatic duct jejunostomy.
This case demonstrates a rare congenital anomaly where the gallbladder fills retrograde during an intraoperative cholangiogram despite clipping of the cystic duct. The major path of biliary drainage was through a large cholecystoheptic duct similar to a gallbladder interposition; however, the common hepatic duct was still present but atrophic. This anomaly has not been described previously.
胆囊肝管是胆道系统罕见的先天性变异。
一名81岁女性因胆绞痛和肝功能检查异常就诊。内镜逆行胰胆管造影（ERCP）显示胆总管结石和肝总管狭窄。术中胆管造影显示肝总管萎缩，胆囊通过一条粗大的胆囊肝管逆行显影。患者接受了胆囊切除术和重建性胆囊肝管空肠吻合术。
本病例展示了一种罕见的先天性异常，即在术中胆管造影时，尽管已夹闭胆囊管，但胆囊仍逆行显影。胆汁引流的主要途径是通过一条粗大的胆囊肝管，类似于胆囊插入；然而，肝总管仍然存在但已萎缩。这种异常此前尚未见报道。
