Liang Zhi, Chen Junsheng, Liang Yonggui, Wang Jijun, Song Xiaobiao
Department of General Surgery, Baotou Central Hospital, Baotou, Inner Mongolia, China.
Baotou Medical College, Baotou, Inner Mongolia, China.
Front Surg. 2022 Jun 27;9:892927. doi: 10.3389/fsurg.2022.892927. eCollection 2022.
A biliary anomaly is occasionally encountered, however, a double cystic duct is exceedingly rare during surgery. It is pivotal for surgeons to recognize the anatomic variations in Cholangiography which is performed under fluoroscopic guidance Intraoperatively to prevent possible complications.
Herein, the case of a 66-year-old female patient with acute cholecystitis, in which preoperative Magnetic Resonance Cholangiopancreatograph (MRCP) did not identify a single gallbladder with double cystic ducts, is presented. Intraoperatively we identified a double cystic duct and it was safely ligated with clips. Anatomic variability was also confirmed by Cholangiography which was performed under fluoroscopic guidance. Furthermore, the patient was symptom-free through 1 year of follow-up assessment.
In particular, when we do not identify anatomic variability based on imaging, cholangiography under fluoroscopic guidance during surgery was a powerful tool that may clearly show the anomaly of a single gallbladder with double cystic ducts.
胆道异常偶尔会遇到，然而，双胆囊管在手术中极为罕见。对于外科医生来说，识别术中在荧光透视引导下进行的胆管造影中的解剖变异至关重要，以预防可能的并发症。
本文介绍了一名66岁急性胆囊炎女性患者的病例，术前磁共振胰胆管造影（MRCP）未发现单胆囊合并双胆囊管。术中我们发现了双胆囊管，并安全地用夹子结扎。在荧光透视引导下进行的胆管造影也证实了解剖变异。此外，经过1年的随访评估，患者无症状。
特别是，当我们基于影像学未识别出解剖变异时，术中在荧光透视引导下进行胆管造影是一种强大的工具，可清晰显示单胆囊合并双胆囊管的异常情况。
