A Case Report of Double Cystic Duct During Laparoscopic Cholecystectomy in Patient with Acute on Chronic Calculus Cholecystitis

Variable anatomy has been the bane of a successful laparoscopic cholecystectomy. Although the biliary anatomy appears simple, there are a large number of congenital variations leading to significant intraoperative challenges as well as postoperative morbidity. Duplication of the systemic duct in a single gall bladder is a very rare anomaly. We present one such case. A 56-year-old male patient presented with an acute attack of cholecystitis. Abdominal ultrasound showed multiple gallstones; the largest one was about 7.2 mm in diameter. The patient was subjected to laparoscopic cholecystectomy under general anaesthesia using the standard 4-port technique 4. During the dissection a tubular structure entering the gall bladder was identified, which was confirmed to be an accessory cystic duct. The laparoscopic cholecystectomy was successfully completed without any significant postoperative morbidity. Duplication of the Cystic is an extremely rare anomaly. Laparoscopic surgeons should be aware of this anomaly to avoid postoperative complications.