A 45-year-old female patient presented to us with cholangitis. There was leucocytosis with neutrophilia, raised
serum bilirubin (4.4 mg/dl), raised alkaline phosphatase (630 IU/1), normal transaminase
levels, and a normal coagulation profile. Ultrasonography (USG) revealed the presence
of a shrunken gallbladder with stones in the neck, an abrupt change in the dilated
common hepatic duct (CHD) to a normal caliber below the stone, and a dilated proximal
biliary tree. Endoscopic retrograde cholangiopancreaticography (ERCP) revealed an
impacted stone at the mouth of the cystic duct with a dilated ductal system above
it. The preoperative diagnosis was Mirizzi’s syndrome.
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References
- Hepaticocystic duct: a rare anomaly of the extrahepatic biliary system.Clin Anat. 2002; 15: 314-315
- Hepaticocystic duct–a case report.Surg Radiol Anat. 1996; 18: 339-341
- Congenital absence of the anatomic bile duct.Acta Chir Scand. 1987; 153: 387-390
Article info
Publication history
Published online: February 16, 2007
Accepted:
November 1,
2006
Identification
Copyright
© 2007 Published by Elsevier Inc. All rights reserved.
