PMID- 31357101 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200930 IS - 2210-2612 (Print) IS - 2210-2612 (Electronic) IS - 2210-2612 (Linking) VI - 61 DP - 2019 TI - Identification of aberrant subvesical bile duct by using intraoperative fluorescent cholangiography: A case report. PG - 115-118 LID - S2210-2612(19)30395-5 [pii] LID - 10.1016/j.ijscr.2019.07.013 [doi] AB - INTRODUCTION: Aberrant subvesical bile ducts are rare structural anomaly located in the peri-hepatic gallbladder fossa. This duct poses the risk for intraoperative bile duct injury resulting in clinically relevant bile leakage. PRESENTATION OF CASE: Aberrant subvesical bile duct was detected by preoperative magnetic resonance cholangiopancreatography in a 52-year old woman with gallbladder polypoid tumor harboring the risk to be gallbladder cancer. During open cholecystectomy with full thickness dissection, the aberrant duct was identified by intraoperative fluorescent cholangiography (IFC), and dissected safely. DISCUSSION: Aberrant subvesical bile ducts are mostly found unexpectedly as intra and/or postoperative bile leakage, and remain an important cause of bile duct injuries after laparoscopic cholecystectomy. IFC, which offers real-time imaging of biliary anatomy, has a potential to overcome these problems. CONCLUSION: We performed cholecystectomy by using IFC to identify the aberrant subvesical bile duct. To the best of our knowledge, this is the first report showing the fluorescence image of an aberrant subvesical bile duct in a state of nature. CI - Copyright (c) 2019 The Authors. Published by Elsevier Ltd.. All rights reserved. FAU - Iwasaki, Toshimitsu AU - Iwasaki T AD - Department of Surgery, Kindai University, Faculty of Medicine, Japan. Electronic address: totchan@me.com. FAU - Takeyama, Yoshifumi AU - Takeyama Y AD - Department of Surgery, Kindai University, Faculty of Medicine, Japan. FAU - Yoshida, Yuta AU - Yoshida Y AD - Department of Surgery, Kindai University, Faculty of Medicine, Japan. FAU - Kawaguchi, Kohei AU - Kawaguchi K AD - Department of Surgery, Kindai University, Faculty of Medicine, Japan. FAU - Matsumoto, Masataka AU - Matsumoto M AD - Department of Surgery, Kindai University, Faculty of Medicine, Japan. FAU - Murase, Takaaki AU - Murase T AD - Department of Surgery, Kindai University, Faculty of Medicine, Japan. FAU - Kamei, Keiko AU - Kamei K AD - Department of Surgery, Kindai University, Faculty of Medicine, Japan. FAU - Takebe, Atsushi AU - Takebe A AD - Department of Surgery, Kindai University, Faculty of Medicine, Japan. FAU - Matsumoto, Ippei AU - Matsumoto I AD - Department of Surgery, Kindai University, Faculty of Medicine, Japan. FAU - Nakai, Takuya AU - Nakai T AD - Department of Surgery, Kindai University, Faculty of Medicine, Japan. LA - eng PT - Journal Article DEP - 20190719 PL - Netherlands TA - Int J Surg Case Rep JT - International journal of surgery case reports JID - 101529872 PMC - PMC6664166 OTO - NOTNLM OT - Cholecystectomy OT - Ducts of Luschka OT - Intraoperative fluorescence cholangiography OT - Subvesical bile duct COIS- All authors declare that there is no conflict of interest regarding the publication of this article. EDAT- 2019/07/30 06:00 MHDA- 2019/07/30 06:01 PMCR- 2019/07/19 CRDT- 2019/07/30 06:00 PHST- 2019/03/27 00:00 [received] PHST- 2019/05/30 00:00 [revised] PHST- 2019/07/09 00:00 [accepted] PHST- 2019/07/30 06:00 [pubmed] PHST- 2019/07/30 06:01 [medline] PHST- 2019/07/30 06:00 [entrez] PHST- 2019/07/19 00:00 [pmc-release] AID - S2210-2612(19)30395-5 [pii] AID - 10.1016/j.ijscr.2019.07.013 [doi] PST - ppublish SO - Int J Surg Case Rep. 2019;61:115-118. doi: 10.1016/j.ijscr.2019.07.013. Epub 2019 Jul 19.