PMC6407078_01
Schematic demonstration of the visualized anatomy intraoperatively.
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Just prior to removal of the gallbladder from the liver bed, another structure entering the gallbladder was encountered (Fig. 1).
Intraoperative cholangiogram through main cystic duct showing correct ductal anatomy with intact common bile, common hepatic, as well as right and left hepatic ducts.
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Intraoperative cholangiogram was performed through the cystic duct that had been clipped earlier, which showed correct ductal anatomy with intact CBD, common hepatic, as well as right and left hepatic ducts (Fig. 2).
Cholangiogram through accessory duct failing to fill bile duct due to blocked proximal aspect of lumen.
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However, during cholangiography contrast extravasated outside rather than filling the bile duct, due to impacted stones blocking proximal aspect of the duct (Fig. 3).