Laparoscopic cholecystectomy with communicating accessory hepatic duct injury and management: A case report

Figure 1 Laparoscopic view during cholecystectomy. A: Anomalous duct (blue arrow) was found extending from the gallbladder ampulla to inside the liver; B: Bile leak (white arrow) was detected from the cut end of the anomalous duct, confirming it is an aberrant bile duct; C and D: Confirmation that the other end (yellow arrow) of the injured bile duct was connected to the right hepatic duct (white arrowhead), identifying it as a communication accessory hepatic duct, which was clipped with a vascular clamp.

Figure 2 Magnetic resonance imaging and magnetic resonance cholangiopancreatography after surgery. A and B: Two weeks after surgery, follow-up magnetic resonance imaging and magnetic resonance cholangiopancreatography showed no intrahepatic or extrahepatic bile duct strictures or dilatation.