2026, Number 1-2
Blumgart type F variant and biliary lithiasis with left hepatic duct exploration resolved by laparoscopic approach: case report
Sánchez-Sampedro EI, Payán-Rosete JA, Moreno-Delgado E, Sánchez-Sampedro FJ
Full text
10.35366/122997
Language: Spanish
References: 8
Page: 54-57
PDF size: 409.69 Kb.
ABSTRACT
Introduction: understanding biliary tract variations is essential to prevent surgical injuries during cholecystectomy. An anomalous insertion of the cystic duct into the right hepatic duct may go unnoticed without appropriate diagnostic imaging. Case report: an 87-yearold female presented with colicky abdominal pain in the right upper quadrant, fever, and oral intolerance, without jaundice. Laboratory findings were consistent with an obstructive pattern. Abdominal ultrasound revealed cholelithiasis and choledocholithiasis without biliary tract dilation. Due to clinical-radiological discordance, a laparoscopic cholecystectomy with intraoperative cholangiography was performed, identifying a biliary variant with anomalous insertion of the cystic duct into the right hepatic duct and a stone in the common hepatic duct. Exploration of the biliary tract through the left hepatic duct and stone extraction were carried out, along with deroofing of a hepatic cyst and placement of a T-tube. Postoperative recovery was satisfactory and uneventful. Conclusions: this case highlights the importance of recognizing biliary tract anatomical variations to reduce surgical morbidity. Laparoscopic approach, along with intraoperative cholangiography, remains a fundamental tool for detecting anomalies and enabling a safe surgical intervention, particularly in complex scenarios involving aberrant anatomy.REFERENCES