Abstract

Intra-hepatic bile duct anomalies, though rare, pose significant challenges during hepatobiliary surgeries. This case report details a unique anatomical variation observed intraoperatively in a 45-year-old male patient at Katihar Medical College. The patient presented with obstructive jaundice, and preoperative imaging, including MRCP, revealed an unusual biliary configuration. Intraoperatively, the absence of the right hepatic duct, significant enlargement of the left hepatic duct, and multiple accessory ducts were noted. A choledochojejunostomy was performed successfully to manage the anomaly. Postoperative recovery was smooth, with normalized liver function tests and successful follow-up imaging. This case emphasizes the importance of recognizing biliary variations and highlights the critical role of preoperative imaging in surgical planning.

Description

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