Hassani Mohammed, Deflaoui Tarik, Frikal Mohammed, Derkaoui Anas, Akil Yassir, Lakhloufi Mohammed, Ouahabi Nada, Ouahabi Safae, Guellil Abdelali, Jabi Rachid, Bouziane Mohammed
Department of General Surgery, Mohammed VI University Hospital, BP 4806 Oujda 60049, Morocco.
Department of Biology, Central Laboratory, Mohammed VI University Hospital, BP 4806 Oujda 60049, Morocco.
J Surg Case Rep. 2025 Jul 30;2025(7):rjaf580. doi: 10.1093/jscr/rjaf580. eCollection 2025 Jul.
Chronic lymphocytic leukemia (CLL) is an indolent B-cell lymphoproliferative disorder often discovered incidentally through routine blood tests. Acute pancreatitis (AP) is a common abdominal emergency, typically of biliary or alcoholic etiology. We report an unusual case of a 63-year-old woman presenting with AP due to biliary lithiasis, which led to the incidental diagnosis of CLL. Notably, intraoperative findings revealed a rare anatomical anomaly: double cystic duct. This case underscores the importance of systematic etiological exploration in AP and highlights potential surgical implications of biliary anomalies in oncologic and inflammatory settings.
慢性淋巴细胞白血病（CLL）是一种惰性B细胞淋巴增殖性疾病，常通过常规血液检查偶然发现。急性胰腺炎（AP）是一种常见的腹部急症，通常由胆道或酒精性病因引起。我们报告了一例不寻常的病例，一名63岁女性因胆石症并发急性胰腺炎，进而偶然诊断出慢性淋巴细胞白血病。值得注意的是，术中发现了一种罕见的解剖异常：双胆囊管。该病例强调了在急性胰腺炎中进行系统病因探索的重要性，并突出了胆道异常在肿瘤学和炎症背景下的潜在手术意义。
