Presentation
Abdominal pain with obstructive jaundice.
Patient Data
Age: 65 years
Gender: Male
From the case:
Parallel cystic duct course
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distal end CBD 26 mm signal-void obstructing stone
normal variant of an elongated parallel course of the cystic duct with low medial insertion into the dilated CHD
moderate dilatation of the intrahepatic biliary radicles
markedly distended GB, no stones
Case Discussion
This case nicely demonstrates one of the anatomical variations of the cystic duct anatomy in which there is a parallel course of CHD and cystic duct with low medial insertion.