Stokes T L, Old L
Am J Surg. 1978 May;135(5):703-5. doi: 10.1016/0002-9610(78)90140-x.
Review of embryologic and surgical literature emphasizes the great variability in biliary ducts. Major cholecystohepatic ducts are rare, although accessory bile ducts are common. A rare case of intrahepatic junction of right and left hepatic ducts providing drainage through a single cholecystohepatic duct is presented. Chlolecystectomy and primary anastomosis of hepatic ducts and duodenum was successful. We know of no report of a precisely similar case. Awareness of the possibility of these anomalies should increase their reported incidence and decrease the severe morbidity and mortality attending failure of recognition.
胚胎学和外科文献综述强调胆管存在很大的变异性。主要的胆囊肝管很少见,尽管副胆管很常见。本文报告了一例罕见的肝内左右肝管汇合通过单一胆囊肝管引流的病例。胆囊切除术以及肝管与十二指肠的一期吻合术取得成功。我们未发现有与之完全相似病例的报告。认识到这些异常情况存在的可能性,应会增加其报告的发生率,并降低因未识别而导致的严重发病率和死亡率。