Kostakis Ioannis D, Feretis Themistoklis, Stamopoulos Paraskevas, Garoufalia Zoe, Dimitroulis Dimitrios, Kykalos Stylianos, Kouraklis Gregory, Tsourouflis Gerasimos
Second Department of Propedeutic Surgery, National and Kapodistrian University of Athens, Medical School, 'Laiko' General Hospital, Athens, Greece.
J Surg Case Rep. 2017 May 31;2017(5):rjx087. doi: 10.1093/jscr/rjx087. eCollection 2017 May.
A 31-year-old woman was admitted to our department in order to undergo a laparoscopic cholecystectomy. The operation was converted to open due to cholorrhea during the dissection in the hepatocystic triangle. The cholorrhea came from a transected bile duct, which was 2 mm in diameter, came out of the hepatoduodenal ligament, ran along the common hepatic duct and drained into the cystic duct, in proximity to the neck of the gallbladder. The gallbladder was removed and an intraoperative cholangiography revealed that the aberrant bile duct was originated from the right posterior sectoral duct (RPSD). The RPSD continued its typical course up to its confluence with the right anterior sectoral duct and the formation of the right hepatic duct. This is a rare type of aberrant bile duct, which is added to the long catalogue of the anatomical variations of the biliary tree.
一名31岁女性因计划接受腹腔镜胆囊切除术而入住我科。由于在肝胆囊三角区进行解剖时出现胆汁漏，手术转为开腹手术。胆汁漏来自一条横断的胆管，其直径为2毫米，从肝十二指肠韧带穿出，沿肝总管走行并流入胆囊管，靠近胆囊颈部。切除胆囊后，术中胆管造影显示异常胆管起源于右后叶胆管（RPSD）。RPSD继续其典型走行，直至与右前叶胆管汇合形成右肝管。这是一种罕见的异常胆管类型，为胆道系统解剖变异的众多类型又增添了一例。
