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UNUSUAL CASE
Ahead of Print

High insertion of cystic duct at the gallbladder fundus: An undescribed anomaly!


 Department of General Surgery, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India

Correspondence Address:
Gabriel Rodrigues,
Kasturba Medical College, Manipal Academy of Higher Education, Manipal - 576 104, Karnataka
India
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmas.JMAS_199_18

PMID: 30416140

The anatomy of the biliary tree is complex, and its variations of both intra- and extra-hepatic bile ducts can be found in approximately 30% of the general population. These variations are not picked up on routine pre-operative investigations of patients planned for a laparoscopic cholecystectomy (LC) and often present as an unusual ‘surprise’ and a challenge that can make dissection in the Calot's triangle difficult leading to iatrogenic injury. We present a case of a 53-year-old female with an undescribed anomaly encountered during an LC. There was a high insertion of the cystic duct into the fundus of the gallbladder. No such anomaly has been described in literature till date.


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    -  Rodrigues G
    -  Pandit SR
    -  Khan A
    -  Veerabharappa B
    -  Jayasankar B
    -  Anaparti R
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2004 Journal of Minimal Access Surgery
Published by Wolters Kluwer - Medknow
Online since 15th August '04