J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 3965KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 89(8): 1296-1301, 1988

Case report

A CASE OF DUPLICATION OF THE COMMON BILE DUCT WITH ANOMALY OF THE INTRAHEPATIC BILE DUCT

Department of Surgery, Yamaga City Hospital, Yamaga, Japan
*) First Department of Surgery, School of Medicine, Kumamoto University, Kumamoto, Japan

Naoyuki Saito, Akira Nakano, Masanobu Arase, Takehisa Hiraoka*)

A 50-year-old man, with a complaint of fever and epigastralgia, was admitted to the Yamaga City Hospital. Choledocholithiasis and stenosis of the lower part of choledocus were pointed out.
Cholecystectomy, choledocholithotomy and papilloplasty were performed and the choledochotomy closed over a T-tube.
T-tube cholangiograms, after operation, revealed stenosis, negative shadow and abnormal branching of the left intrahepatic bile duct. Then, the lateral segmentectomy of the liver was done. But the negative shadow wasn't disappeared. With further examination, we could find the accessory bile duct in the retroperitoneal space. Cholangiogram, from this accessory bile duct, revealed patency of this bile duct into the left intrahepatic bile duct and the duodenum. A final diagnosis of duplication of the common bile duct was established.
We collected Japanese cases of this anomaly and discussed a classification of the disorder.

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