Tehran University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Cholecysto-Hepatic Duct Serving As the Only Drainage Pathway of Bile From the Intrahepatic to the Extrahepatic Biliary System in an Infant: A Case Report Publisher Pubmed



Khoei S1 ; Samani PR1 ; Fazelnia F2 ; Pak N3
Authors
Show Affiliations
Authors Affiliations
  1. 1. Radiology resident, Imam Khomeini hospital complex, Tehran university of medical sciences, Tehran, Iran
  2. 2. Radiology resident, Shariati hospital, Tehran university of medical sciences, Tehran, Iran
  3. 3. Neda Pak, associate professor of radiology, children medical center of excellence, Tehran university of medical sciences (TUMS), Tehran, Iran

Source: BMC Pediatrics Published:2022


Abstract

Background: Cholecystohepatic duct is a rare anomaly of the biliary system which involves drainage of bile into the gallbladder which may be associated with agenesis of the common hepatic duct or common bile duct. Case presentation: A 2.5-month-old infant presented to our emergency department with icterus. He had a history of esophageal atresia and imperforate anus which had been treated surgically by thoracotomy, esophagostomy, gastrostomy and colostomy placement. Following imaging studies by ultrasound and MRCP, the diagnosis of common hepatic duct agenesis was made. Cholecystohepatic duct was present as the solitary drainage pathway of bile from the intrahepatic to extrahepatic biliary system. Conclusions: Cholecystohepatic ducts need a high index of suspicion to be diagnosed on preoperative hepatobiliary imaging. As they may be asymptomatic, they are predisposed to iatrogenic injury during hepatobiliary surgeries. © 2022, The Author(s).