ArticleJournal of surgical case reports2026
Intra-operative detection of cholecystohepatic duct during cholecystectomy: a case report.
Article in Journal of surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Biliary anatomy is highly variable, and aberrant anatomy increases the risk of bile duct injury during cholecystectomy. Awareness of anatomical variation is essential to prevent avoidable complications. A 37-year-old male with acute gallstone pancreatitis underwent laparoscopic cholecystectomy. Anatomy on intra-operative cholangiography was unclear, prompting conversion to open, where repeat cholangiogram showed the common hepatic duct draining into the gallbladder infundibulum. A subtotal cholecystectomy preserving the infundibulum was performed. The patient developed a bile leak requiring re-look laparotomy and hepaticojejunostomy on post-operative day 5, later revised after anastomotic breakdown. He recovered fully and was well at 1-month follow-up. Cholecystohepatic duct is a rare biliary anomaly that is difficult to detect pre-operatively. Magnetic resonance cholangiopancreatography may help, but is not routine, so a high index of suspicion is crucial. Intra-operative cholangiography and a critical view of safety help to prevent injury. Surgical management depends on anatomy, but generally hepaticojejunostomy is recommended.
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