Intraoperatively, we found that the CD drained into the right hepatic duct
rather than directly through the common bile duct, which is a very rare anatomic variation.
Vakili et al  noticed that caudate process duct drains into right hepatic duct
(85%) and left part of caudate lobe into left hepatic duct
The right and left hepatic ducts
and proximal of the common hepatic duct
were involved in the mass, resulting in dilatation of intrahepatic ducts.
The common bile and the hepatic duct
were distended and lumen of the bile duct was embedded with numerous small parasites (Fig.
We present a case of a 78-year-old jaundiced male patient who sustained common hepatic duct
injury during laparoscopic cholecystectomy eight months earlier.
Common Hepatic Duct
injury (1)###Laparotomy + Repair + T tube
Gallbladder is located on the upper right abdomen below the liver and is connected to liver by the hepatic duct
Specific problems associated with laparoscopic BDI are a higher incidence of severe hepatic duct
bifurcation injuries as well as associated vascular injuries.
CT chest abdomen and pelvis was ordered which revealed a 3 x 5 cm mass arising from the apical segment of the upper lobe of right lung, a 1 cm peripheral nodule in upper lobe of left lung, a 2 cm mass along margin of pancreatic head causing obstruction to the common hepatic duct
resulting in diffuse intra hepatic biliary dilatation, and a mass in fundus of gall bladder invading into adjacent liver.
The variation of right posterior branch draining into the left hepatic duct
was reported with a rate of about 4.
Common bile duct (CBD) was most commonly involved in 50% of cases followed by confluence of right and left hepatic duct
and pancreas in 13.
21 type A--bile leak from cystic duct stump or gallbladder bed; type B--aberrant right hepatic duct
occlusion; type C--aberrant right hepatic duct
transection; type D--partial (<50%) transection of a major bile duct; and type E-->50% transection or complete transection of a major bile duct (further subclassified as E1-->2 cm from the confluence of the left and right hepatic ducts
; E2--<2 cm from confluence; E3--no common hepatic duct
remnant with an intact hepatic duct
confluence; E4--destruction of the hepatic duct
confluence; and E5--aberrant right sectoral duct in conjunction with an injury to the common hepatic duct