Park Jeong-Ik, Oh Sang-Hoon
Department of Surgery, Inje University Haeundae Paik Hostpital, Inje University College of Medicine, Busan, Korea.
Department of Surgery, Inje University Busan Paik Hospital, Inje University College of Medicine, Busan, Korea.
Ann Surg Treat Res. 2015 Apr;88(4):229-31. doi: 10.4174/astr.2015.88.4.229. Epub 2015 Mar 26.
Double common bile duct (DCBD) is a rare congenital anomaly among biliary anomalies. The anomaly has an important clinical implication because of its association with anomalous pancreaticobiliary ductal union (APBDU) and upper gastrointestinal cancers. In addition, if one of the two common bile ducts is mistaken for the cystic duct during surgery, bile duct injury is likely to occur. Treatment depends on the coexistence of concomitant cancer and APBDU. A 54-year-old male diagnosed of gastric cancer was referred for surgery. During surgery, we incidentally detected bile leak from the tubular structure around the hepatoduodenal ligament. We performed intraoperative cholangiogram by cannulizing into the tubular structure, and confirmed the tubular duct as the accessory bile duct with an ectopic drainage into the stomach, which was connected to the proximal common bile duct. In this study, we report a rare case of DCBD with an ectopic drainage into the stomach and review the literature.
双胆总管（DCBD）是胆道畸形中一种罕见的先天性异常。由于其与胰胆管异常汇合（APBDU）及上消化道癌症相关，这种异常具有重要的临床意义。此外，如果在手术中将两条胆总管之一误认为胆囊管，很可能会发生胆管损伤。治疗取决于是否并存癌症及APBDU。一名54岁被诊断为胃癌的男性被转诊接受手术。手术过程中，我们偶然发现肝十二指肠韧带周围管状结构有胆汁渗漏。我们通过将导管插入该管状结构进行术中胆管造影，证实该管状导管为副胆管，其异位引流至胃内，且与近端胆总管相连。在本研究中，我们报告了一例罕见的DCBD伴异位引流至胃内的病例，并对文献进行了回顾。
