Aberrant Right Hepatic Duct Draining into the Cystic Duct: Clinical Outcomes and Management
Background. Aberrant right hepatic duct (ARHD) draining into cystic duct (CD) is relatively rare but clinically important because of its susceptibility to injuries during cholecystectomy. These injuries are often-times missed or diagnosed late and as a result can develop serious complications. Metho...
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2011/458915 |
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| author | Aijaz A. Sofi Osama H. Alaradi Marwan Abouljoud Ali T. Nawras |
| author_facet | Aijaz A. Sofi Osama H. Alaradi Marwan Abouljoud Ali T. Nawras |
| author_sort | Aijaz A. Sofi |
| collection | DOAJ |
| description | Background. Aberrant right hepatic duct (ARHD) draining into
cystic duct (CD) is relatively rare but clinically important
because of its susceptibility to injuries during cholecystectomy.
These injuries are often-times missed or diagnosed late and as a
result can develop serious complications. Methods. Four
consecutive patients diagnosed with ARHD draining into CD were
identified for inclusion. Results. The mean age of patients was
42.5 years. The diagnosis in one of the patient was incidental
during a routine endoscopic retrograde cholangiopancreatography
(ERCP). Other three patients were diagnosed post-cholecystectomy-
one presented with suspected intra-operative biliary injury, one
with persistent bile leak and another with recurrent cholangitis.
Inadequate filling of the segment of liver on ERCP with dilation
of intrahepatic ducts in the corresponding segment on imaging was
present in two patients with complete obstruction of ARHD which
was managed surgically. In another patient, the partially
obstructed ARHD was managed by endoscopic therapy. Conclusion.
ARHD draining into the CD can have varied clinical manifestations.
In appropriate clinical settings, it should be suspected in
patients with persistence of bile leak early after
cholecystectomy, segmental dilation of intrahepatic-bile ducts on
imaging and paucity of intrahepatic filling in a segment of liver
on ERCP. |
| format | Article |
| id | doaj-art-53c4431426424ec2a3af89e5ccf5a130 |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-53c4431426424ec2a3af89e5ccf5a1302025-02-03T06:06:17ZengWileyGastroenterology Research and Practice1687-61211687-630X2011-01-01201110.1155/2011/458915458915Aberrant Right Hepatic Duct Draining into the Cystic Duct: Clinical Outcomes and ManagementAijaz A. Sofi0Osama H. Alaradi1Marwan Abouljoud2Ali T. Nawras3Division of Gastroenterology, Department of Medicine, University of Toledo Medical Center, 3000 Arlington Avenue, Toledo, OH 43614, USADepartment of Gastroenterology, Henry Ford Health System, Detroit, MI 48202, USATransplant Institute, Henry Ford Health System, Detroit, MI 48202, USADivision of Gastroenterology, Department of Medicine, University of Toledo Medical Center, 3000 Arlington Avenue, Toledo, OH 43614, USABackground. Aberrant right hepatic duct (ARHD) draining into cystic duct (CD) is relatively rare but clinically important because of its susceptibility to injuries during cholecystectomy. These injuries are often-times missed or diagnosed late and as a result can develop serious complications. Methods. Four consecutive patients diagnosed with ARHD draining into CD were identified for inclusion. Results. The mean age of patients was 42.5 years. The diagnosis in one of the patient was incidental during a routine endoscopic retrograde cholangiopancreatography (ERCP). Other three patients were diagnosed post-cholecystectomy- one presented with suspected intra-operative biliary injury, one with persistent bile leak and another with recurrent cholangitis. Inadequate filling of the segment of liver on ERCP with dilation of intrahepatic ducts in the corresponding segment on imaging was present in two patients with complete obstruction of ARHD which was managed surgically. In another patient, the partially obstructed ARHD was managed by endoscopic therapy. Conclusion. ARHD draining into the CD can have varied clinical manifestations. In appropriate clinical settings, it should be suspected in patients with persistence of bile leak early after cholecystectomy, segmental dilation of intrahepatic-bile ducts on imaging and paucity of intrahepatic filling in a segment of liver on ERCP.http://dx.doi.org/10.1155/2011/458915 |
| spellingShingle | Aijaz A. Sofi Osama H. Alaradi Marwan Abouljoud Ali T. Nawras Aberrant Right Hepatic Duct Draining into the Cystic Duct: Clinical Outcomes and Management Gastroenterology Research and Practice |
| title | Aberrant Right Hepatic Duct Draining into the Cystic Duct: Clinical Outcomes and Management |
| title_full | Aberrant Right Hepatic Duct Draining into the Cystic Duct: Clinical Outcomes and Management |
| title_fullStr | Aberrant Right Hepatic Duct Draining into the Cystic Duct: Clinical Outcomes and Management |
| title_full_unstemmed | Aberrant Right Hepatic Duct Draining into the Cystic Duct: Clinical Outcomes and Management |
| title_short | Aberrant Right Hepatic Duct Draining into the Cystic Duct: Clinical Outcomes and Management |
| title_sort | aberrant right hepatic duct draining into the cystic duct clinical outcomes and management |
| url | http://dx.doi.org/10.1155/2011/458915 |
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