Duplication of the Extrahepatic Bile Duct in Association with Choledocholithiasis as Depicted by MDCT

Department of Radiology, Soonchunhyang University, Cheonan Hospital, Cheonan, Korea.
Korean Journal of Radiology (Impact Factor: 1.57). 12/2008; 9(6):550-4. DOI: 10.3348/kjr.2008.9.6.550
Source: PubMed


We report here on an extremely rare case of duplicated extrahepatic bile ducts that was associated with choledocholithiasis, and this malady was visualized by employing the minimum intensity projection images with using multi-detector row CT. The presence of duplicated extrahepatic bile ducts with a proximal communication, and the ducts were joined distally and they subsequently formed a single common bile duct, has not been previously reported.

Download full-text


Available from: Sang-Heum Park
  • Source
    • "The presence of double bile duct is a normal step during early human embryogenesis; however, this primitive duplicated system regresses to give rise to the conventional anatomy consisting of a single common bile duct. The development of DCBD can be ascribed to disturbances in recanalization of the hepatic primordium as well as coalescence of vacuoles of the primitive biliary duct, which has two lumens initially [7] [8]. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Double common bile duct (DCBD) is a rare congenital anomaly. Most of these bile duct anomalies are associated with bile duct stones, anomalous pancreaticobiliary junction (APBJ), pancreatitis and bile duct or gastric cancers. Early detection and treatment is important to avoid long term complications. Surgical resection of the anomalous bile duct and reconstruction of the biliary enteric anastomosis is the treatment of choice. We report a rare case of DCBD anomaly in a girl, who presented with recurrent cholangitis. She had type Va DCBD anomaly. She underwent successful resection of the bile duct and reconstruction of the biliary enteric anastomosis. Preoperative imaging and diagnosis of the congenital biliary anomaly is very important to avoid intraoperative bile duct injury. Review of the literature shows very few cases of type Va DCBD, presenting with either bile duct stones or APBJ.
    Full-text · Article · Oct 2015 · Journal of Pediatric Surgery Case Reports
  • [Show abstract] [Hide abstract]
    ABSTRACT: We present the case of a 60-year-old woman admitted to hospital with acute abdominal pain on a background history of vague dyspeptic symptoms managed as an outpatient. Serial imaging investigation with a barium contrast meal, oesophagogastroduodenoscopy, ultrasonography, computed tomography, endoscopic retrograde cholangiopancreatography and magnetic resonance cholangiopancreatography (MRCP) established a very rare diagnosis. Our patient had extrahepatic bile duct duplication with an accessory bile duct draining the left lobe of the liver into the antrum of the stomach without intrahepatic communication of the left and right bile duct systems, complicated by choledocholithiasis of the accessory duct. Diagnosis of this variant was finally made with MRCP at 2 months follow-up to the initial admission, which also demonstrated spontaneous passage of the accessory duct stone. A differential diagnosis list for cystic structures in the lesser omentum is considered. We believe that this is the first such case to be demonstrated with all 6 forms of imaging described, which were performed, undoubtedly, because of its rarity. Retaining awareness of such rare anomalies in our clinical practice should lead to appropriate imaging being initiated early and avoid delay in diagnosis, especially because of associations with potentially serious complications.
    No preview · Article · Jul 2010 · European Journal of Radiology Extra
  • [Show abstract] [Hide abstract]
    ABSTRACT: A 72-year-old hypertensive woman presented with a 2-month history of right upper quadrant abdominal pain. She had a 15-day history of jaundice, fever with chills and shivering, nausea, vomiting, weight loss and generalized pruritus. Physical examination, laboratory evaluation, transabdominal ultrasonography, magnetic resonance cholangiopancreatography, endoscopic retrograde cholangiopancreatography, brush cytology, laparotomy and histopathology. Bile duct duplication with coexistence of distal cholangiocarcinoma. En bloc resection (including the duodenum, pancreatic head and adjacent lymph nodes), hepaticojejunostomy and pylorus-saving Whipple operation.
    No preview · Article · Sep 2010 · Nature Reviews Gastroenterology &#38 Hepatology
Show more