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Double common bile duct: report of a case

SUMMARY

Double common bile duct is a rare congenital anomaly, charactered by two common bile ducts exist. One, named major common bile duct normally opens into the papilla duodeni major and the other named accessory common bile duct (ACBD) opens in different parts of upper gastrointestinal tract (stomach, duodenum, ductus pancreaticus. This anomaly is usually associated with some complications such as biliary inflammation, biliary lithiasis, choledochal cyst, anomalous pancreaticobiliary junction (APBJ), cholangiocarcinoma and upper gastrointestinal tract malignancies. We reported a 74 - year-old woman, presented with epigastric pain, chills, high fever and jaundice. Abdominal ultrasonography showed duplicated common bile duct and magnetic resonance imaging inlustrated double common bile duct type Va, classificated by Choi et al. The patient was diagnosed biliary infection without biliary lithiasis and cholangiocarcinoma, and treated with observal treatment and antibiotics.

Keywords: Double common bile duct, Accessory common bile duct.