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Cystic duct entering to right hepatic duct; a case report with literature review

INTRODUCTION AND IMPORTANCE: Surgeons may mistakenly consider the right hepatic duct as cystic duct, ligate, and divide it. CASE PRESENTATION: A 58-year-old woman presented with right upper quadrant (RUQ) abdominal pain, nausea, and RUQ tenderness, but negative Murphy's sign. Common bile duct w...

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Autores principales: Khoonsari, Mahmoodreza, Mansoorian, Mohsen Reza, Namazi, Abolfazl, Kabir, Ali
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10154732/
https://www.ncbi.nlm.nih.gov/pubmed/37086502
http://dx.doi.org/10.1016/j.ijscr.2023.108222
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author Khoonsari, Mahmoodreza
Mansoorian, Mohsen Reza
Namazi, Abolfazl
Kabir, Ali
author_facet Khoonsari, Mahmoodreza
Mansoorian, Mohsen Reza
Namazi, Abolfazl
Kabir, Ali
author_sort Khoonsari, Mahmoodreza
collection PubMed
description INTRODUCTION AND IMPORTANCE: Surgeons may mistakenly consider the right hepatic duct as cystic duct, ligate, and divide it. CASE PRESENTATION: A 58-year-old woman presented with right upper quadrant (RUQ) abdominal pain, nausea, and RUQ tenderness, but negative Murphy's sign. Common bile duct was 10 mm based on abdominal ultrasound. Common hepatic duct and intrahepatic ducts consist of multiple common bile duct (CBD) stones with sludge and multiple small gallstones. Different diagnostic procedures (Computed tomography (CT) scan, magnetic resonance cholangiopancreatography (MRCP), and endoscopic retrograde cholangiopancreatography (ERCP)) showed the connection of the cystic duct to the right hepatic duct. Balloon sweeping for stones extraction and then laparoscopic cholecystectomy was successfully done. CLINICAL DISCUSSION: Radiologic evaluations like MRCP, CT scan, ERCP or sonography before or during the surgery/endoscopic interventions seem logical at least for selected patients. CONCLUSION: Before endoscopic/surgical interventions we need to be sure about the anatomy of biliary tree by a suitable para-clinic evaluation.
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spelling pubmed-101547322023-05-04 Cystic duct entering to right hepatic duct; a case report with literature review Khoonsari, Mahmoodreza Mansoorian, Mohsen Reza Namazi, Abolfazl Kabir, Ali Int J Surg Case Rep Case Report INTRODUCTION AND IMPORTANCE: Surgeons may mistakenly consider the right hepatic duct as cystic duct, ligate, and divide it. CASE PRESENTATION: A 58-year-old woman presented with right upper quadrant (RUQ) abdominal pain, nausea, and RUQ tenderness, but negative Murphy's sign. Common bile duct was 10 mm based on abdominal ultrasound. Common hepatic duct and intrahepatic ducts consist of multiple common bile duct (CBD) stones with sludge and multiple small gallstones. Different diagnostic procedures (Computed tomography (CT) scan, magnetic resonance cholangiopancreatography (MRCP), and endoscopic retrograde cholangiopancreatography (ERCP)) showed the connection of the cystic duct to the right hepatic duct. Balloon sweeping for stones extraction and then laparoscopic cholecystectomy was successfully done. CLINICAL DISCUSSION: Radiologic evaluations like MRCP, CT scan, ERCP or sonography before or during the surgery/endoscopic interventions seem logical at least for selected patients. CONCLUSION: Before endoscopic/surgical interventions we need to be sure about the anatomy of biliary tree by a suitable para-clinic evaluation. Elsevier 2023-04-15 /pmc/articles/PMC10154732/ /pubmed/37086502 http://dx.doi.org/10.1016/j.ijscr.2023.108222 Text en © 2023 Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Khoonsari, Mahmoodreza
Mansoorian, Mohsen Reza
Namazi, Abolfazl
Kabir, Ali
Cystic duct entering to right hepatic duct; a case report with literature review
title Cystic duct entering to right hepatic duct; a case report with literature review
title_full Cystic duct entering to right hepatic duct; a case report with literature review
title_fullStr Cystic duct entering to right hepatic duct; a case report with literature review
title_full_unstemmed Cystic duct entering to right hepatic duct; a case report with literature review
title_short Cystic duct entering to right hepatic duct; a case report with literature review
title_sort cystic duct entering to right hepatic duct; a case report with literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10154732/
https://www.ncbi.nlm.nih.gov/pubmed/37086502
http://dx.doi.org/10.1016/j.ijscr.2023.108222
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