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Cirujano general

versão impressa ISSN 1405-0099


BIZUETO-ROSAS, Héctor et al. Hypotrophic, retrohepatic and intrahepatic gallbladder with aberrant right hepatic duct. A case report and literature review. Cir. gen [online]. 2016, vol.38, n.4, pp.207-212.  Epub 16-Abr-2020. ISSN 1405-0099.

The embryological complexity in the formation of the gallbladder and biliary tract are responsible for the frequent anatomical variants in more than 50% of the cases, the majority of which do not cause any pathology. In the anatomical variants, abnormalities in the right duct are the most frequent regarding biliary tract. The gallbladder diverticulum and accessory right hepatic duct entering the gallbladder are quite rare. We present the case of a male patient of 42 years with multiple episodes of biliary pain; in the last episode required urgent surgery and those anatomical variants were observed. Later on, an endoscopic retrograde transduodenal cholangiopancreatography demonstrated the integrity of the bile duct and absence of residual lithiasis. Therefore, we conclude that the intra-operative cholangiography should be routine for both discard lithiasis as to detect anatomical variations, because recognition of those impacts prognosis in the transoperative period, postoperative and the patient’s life. We present a review of the literature about these anomalies.

Palavras-chave : Biliary tract; anatomical variants; accessory hepatic right duct; surgery.

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