Presentation
Epigastric pain
Patient Data
Age: 40 years
Gender: Female
From the case:
Low medial cystic duct insertion
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Coronal oblique MRCP shows a low medial insertion of cystic duct. No gallstones and no duct filling defects.
From the case:
Low medial cystic duct insertion
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Cystic duct drains at lower 3rd of common bile duct from left side (red dotted line).
Case Discussion
The cystic duct inserts into the middle one-third of the extrahepatic bile duct in 75% of cases and into the distal one-third in 10%. It most commonly inserts from a right lateral position.
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