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September 5, 2025British journal of surgery

eP448 Losing Sense of Direction or Anatomical Variation? - Failure of Biliary Duct Clearance Through Endoscopic and Surgical Interventions

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Authors

GLGokul R LakshmipathyJPJayaprakash PattarRJRajesh Jain

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Overview

Case report highlights anatomical variation affecting biliary duct procedures, indicating potential misdiagnosis.

Key Points

  • Persistent common hepatic duct stone remained despite multiple interventions, resulting in obstructive jaundice.
  • Operative choledochoscopy misidentified drainage due to aberrant right posterior sectoral duct, complicating management.
  • Understanding anatomical variations in ducts is crucial for successful endoscopic and surgical interventions.
  • Emphasizes the need for three-dimensional imaging prior to biliary procedures to minimize complications.

Cite This Study

Lakshmipathy et al. (2025) studied this question.

synapsesocial.com/papers/68c2384fb210217d64777538https://doi.org/10.1093/bjs/znaf166.475
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Also Consider

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  1. 1Recurrent Cholangitis From Common Bile Duct Stones After Cholecystectomy in A Patient With Duodenal Periampullary Diverticula2025
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  3. 3Mirizzi Syndrome With a Double Cystic Duct and a Single Gallbladder: A Case Report on a Rare Anatomical Variant and Surgical Challenge2025 · 1 citations
  4. 4Laparoscopic common bile duct exploration for managing difficult common bile duct stones after failed endoscopic retrograde cholangiopancreatography2025
  5. 5Incidence of vascular and biliary anomalies found during laparoscopic cholecystectomy and their outcomes2025