Incidentally exploration of the fusiform cystic duct cyst during laparoscopic cholecystectomy of septate gallbladder - Case Report

• Published in: International journal of surgery case reports Vol. 114; p. 109194
• Main Authors: Abuzaina, Khalil, Fakhouri, Sulaiman, Qanam, Maram J, Karaki, Sondos J, Hmeidan, Aseel I, Najjar, Samar
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier 01-01-2024
• Subjects: Case Report; Biliary tract; Cystic malformation; Todani's classification; Choledochal cyst; Cystic duct; Cystic duct cyst
• ISSN: 2210-2612; 2210-2612
• DOI: 10.1016/j.ijscr.2023.109194

Biliary cysts are rare congenital anomalies of the biliary ductal system. Cystic duct cysts in particular are not included in the widely used Todani classification and remain underreported.
A 28-year-old male presented with intermittent right upper quadrant pain exacerbated by fatty foods. Ultrasound showed a septate gallbladder. Laboratory tests were normal. Laparoscopic cholecystectomy identified a 1.5 cm cystic duct cyst.
Cystic duct cysts arise from anomalous ductal recanalization/dilatation. Presentation mimics cholelithiasis. Complete surgical excision is the treatment to prevent complications.
This case presents an incidental finding of a cystic duct cyst resected during cholecystectomy for septate gallbladder. Increased recognition can improve the management of these rare biliary anomalies.