While variations of the common bile duct are relatively common, true duplication of the common bile duct is very rare. Such deviation from normal anatomy, if unrecognized, may cause problems during surgical intervention. Here we present a case of a unique variant of an accessory bile duct which arises from the confluence of the right and left hepatic ducts and runs down to join the pancreatic duct to form a long, common channel before opening into the papilla with the main duct.
References
-
1
Rizzo R J, Szucs R A, Turner M A.
Congenital abnormalities of the pancreas and biliary tree in adults.
Radiographics.
1995;
15 (1)
49-68
-
2
Kanematsu M, Imaeda T, Seki M, et al.
Accessory bile duct draining into the stomach: case report and review.
Gastrointest Radiol.
1992;
17 (1)
27-30
-
3
Teilum D.
Double common bile duct. Case report and review.
Endoscopy.
1986;
18 (4)
159-161
-
4
Kellam L G, Howerton R L, Goco I R, et al.
Accessory bile duct and laparoscopic cholangiography: report of three cases.
Am Surg.
1996;
62
270-273
-
5
Benson E A, Page R E.
A practical reappraisal of the anatomy of the extrahepatic bile ducts and arteries.
Br J Surg.
1976;
63 (11)
853-860
W. Y. Lau
Dept. of Surgery The Chinese University of Hong Kong
Prince of Wales Hospital
32 Ngan Shing Street
Shatin, New Territories
Hong Kong
Fax: Fax:+ 852-2632-5459
Email: E-mail:josephlau@cuhk.edu.hk
