Anatomical variant of the right hepatic duct in laparoscopic cholecystectomy in Parkland v: clinical case report
DOI:
https://doi.org/10.62954/099cs637Keywords:
anatomical variations, laparoscopic cholecystectomy, ERCP, case reportAbstract
Background: The extrahepatic biliary system, while following a "classic" pattern in a significant percentage of the population, is notoriously prone to anatomical variations. An aberrant right hepatic duct connecting to the cystic duct is a variation of practical importance due to its susceptibility to severe postoperative refractory bile leak.
Objective: The objective of this report is to present a clinical case of a patient who presented with an anatomical variant of the biliary tract, its management, and the postoperative results.
Materials and methods: We present the case of a 58 years old male patient with abdominal pain; paraclinical tests and semiology suggested chronic calculous cholecystitis, which was soon resolved by laparoscopic cholecystectomy. Among the findings was a Parkland 5 gallbladder. An updated review of the topic, the approach, and the different treatment options is presented. Results: During the course of the procedure, the patient developed a bile leak, and a magnetic resonance cholangiopancreatography (MRCP) revealed an anatomical variant of the right hepatic duct. This leak was managed conservatively, and the patient responded satisfactorily to the selected treatment.
Conclusions: This is a rare case. This review suggests that a detailed understanding of the anatomy can lead to a safe cholecystectomy.
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Copyright (c) 2026 Dra. Mónica Isabel Ríos Gaspar, Dr. Joshua Saldaña Villanueva, Dra. Jennifer Bautista Muñoz, Dr. Enrique Hernández Teutle, Dr. Fabricio Durán Heredia (Autor/a)
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