Anomalous connection of the right hepatic duct into the cystic duct: Utility of magnetic resonance cholangiopancreatography

Satoshi Yamamoto, Atsushi Sakuma, Kyu Rokkaku, Takehiko Nemoto, Keiichi Kubota

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)

Abstract

A 41-year-old female was admitted to our hospital for treatment of uterus carcinoma. Abdominal ultrasound showed gallbladder stones. Although magnetic resonance cholangiopancreatography revealed the right intrahepatic bile ducts, left hepatic duct and the common bile duct, the confluence of the right and left hepatic ducts was not visualized. At surgery, intraoperative cholangiography showed a biliary anomaly of the right hepatic duct entering the cystic duct. Subsequently cholecystectomy was accomplished without any injury to the bile duct. Our case may be the eighth such case of this rare biliary anomaly. When magnetic resonance cholangiopancreatography does not show the confluence of the right and left hepatic ducts, biliary anomaly of the right hepatic duct should be suspected and careful dissection should be performed from the Hartman's pouch, followed by intraoperative cholangiography, in order to avoid unnecessary injury to the bile duct.

Original languageEnglish
Pages (from-to)643-644
Number of pages2
JournalHepato-gastroenterology
Volume50
Issue number51
Publication statusPublished - 01-05-2003
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Hepatology
  • Gastroenterology

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