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A case report on a rare anatomic variant of cystic duct insertion.

  • Author(s): Yu, Jeffrey J
  • Morell, Michael
  • Lee, John G
  • Imagawa, David K
  • et al.
Abstract

We report a case a 70-year-old female presenting with abdominal pain who has a cystic duct coursing medial to the common bile duct before anastomosing just proximal to the ampulla. Low medial insertion of the cystic duct is a rare anatomic variant that is easily misidentified on imaging studies and may complicate surgical and percutaneous intervention. It can be identified by pre-operative imaging modalities such as magnetic resonance cholangiopancreatography.

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