Low cystic duct insertion

Case contributed by Henry Knipe
Diagnosis certain

Presentation

Cholestatic LFTs

Patient Data

Age: 50 years
Gender: Male

Intravenous cholangiogram

ct

 

The cystic duct has a low, medial insertion after running parallel to the common hepatic duct. Otherwise normal examination. 

Case Discussion

This represents a variant of the cystic duct. Variations of the cystic duct are common, occurring in ~20% of cases. Unrecognised variations may contribute to increased surgical morbidity. 

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