Open AccessHigh insertion of cystic duct at the gallbladder fundus: An undescribed anomaly!
Author(s) -
Gabriel Rodrigues,
Shruti Pandit,
Afroz Khan,
Bharath Veerabharappa,
Balaji Jayasankar,
Rasagna Anaparti
Publication year - 2019
Publication title -
journal of minimal access surgery
Language(s) - English
Resource type - Journals
eISSN - 0972-9941
pISSN - 1998-3921
DOI - 10.4103/jmas.jmas_199_18
Subject(s) - medicine , cystic duct , gallbladder , laparoscopic cholecystectomy , dissection (medical) , cholecystectomy , fundus (uterus) , population , surgery , common hepatic duct , general surgery , environmental health
The anatomy of the biliary tree is complex, and its variations of both intra- and extra-hepatic bile ducts can be found in approximately 30% of the general population. These variations are not picked up on routine pre-operative investigations of patients planned for a laparoscopic cholecystectomy (LC) and often present as an unusual 'surprise' and a challenge that can make dissection in the Calot's triangle difficult leading to iatrogenic injury. We present a case of a 53-year-old female with an undescribed anomaly encountered during an LC. There was a high insertion of the cystic duct into the fundus of the gallbladder. No such anomaly has been described in literature till date.