{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T15:08:15Z","timestamp":1776784095150,"version":"3.51.2"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,10,14]],"date-time":"2024-10-14T00:00:00Z","timestamp":1728864000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and importance:<\/jats:title>\n                    <jats:p>Cholecystectomy is the most common general surgery procedure, necessitating thorough knowledge of bile duct anatomy. Despite the bile duct's anatomical diversity, reports of double cystic ducts are rare. This case presentation aims to emphasize the importance of recognizing this unusual anatomical variant during surgical procedures to prevent complications and ensure patient safety.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>This is a 22-year-old woman with a history of lupus. Initial clinical and ultrasound evaluations concluded she had cholangitis, choledocholithiasis, and cholecystitis.<\/jats:p>\n                    <jats:p>A cholecystectomy was performed, during which a double cystic duct was identified and confirmed with intraoperative cholangiography.<\/jats:p>\n                    <jats:p>Five days after surgery, the patient exhibited increased bilirubin levels, and a follow-up cholangiography showed dilation of the common bile duct with no passage of contrast medium into the duodenum. She underwent ERCP with endoprosthesis placement and is currently under follow-up with adequate progress.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>Double cystic ducts are extremely rare anatomical variants. These variations pose significant challenges for surgeons during surgery, emphasizing the need for a universal culture of safety during cholecystectomy.<\/jats:p>\n                    <jats:p>Although this anatomical variant is rare, surgeons must be aware of it. Given the uncertainty of anatomy, it is advisable to perform intraoperative imaging, such as cholangiography, before sectioning any duct.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Double cystic duct variations are rare, but when bile duct anatomy is unclear, intraoperative cholangiography is essential. This technique improves visualization of biliary structures, aiding informed decisions before duct ligation and reducing the risk of bile duct disruption.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2024.110459","type":"journal-article","created":{"date-parts":[[2024,10,16]],"date-time":"2024-10-16T04:29:41Z","timestamp":1729052981000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Double cyst duct in a young woman with a history of systemic lupus: A case report"],"prefix":"10.1097","volume":"124","author":[{"given":"Salvador Carlos","family":"Jim\u00e9nez","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miriam Natividad Jim\u00e9nez","family":"Vel\u00e1zquez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan Carlos Rivera","family":"Nava","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ra\u00fal Alejandro N\u00fa\u00f1ez","family":"Torres","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edgard Efr\u00e9n Lozada","family":"Hern\u00e1ndez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jose Alaniz","family":"Ruiz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"issue":"2","key":"R1-136-20260421","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1007\/s00276-013-1157-6","article-title":"Bile duct confluence: anatomic variations and its classification","volume":"36","author":"Chaib,","year":"2014","journal-title":"Surg. Radiol. Anat."},{"issue":"3","key":"R2-136-20260421","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1007\/s005950050129","article-title":"Anomalous duplicated cystic duct as a surgical hazard: report of a case","volume":"28","author":"Fujikawa,","year":"1998","journal-title":"Surg. Today"},{"key":"R3-136-20260421","doi-asserted-by":"crossref","DOI":"10.3389\/fsurg.2022.892927","article-title":"Double cystic duct: preoperative use of MRCP without being aware of the anatomic anomaly: a case report","volume":"9","author":"Liang,","year":"2022","journal-title":"Front. Surg."},{"key":"R4-136-20260421","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1016\/j.ijscr.2019.02.030","article-title":"Case report of a duplicated cystic duct: a unique challenge for the laparoscopic surgeon","volume":"56","author":"Munie,","year":"2019","journal-title":"Int. J. Surg. Case Rep."},{"issue":"4","key":"R5-136-20260421","doi-asserted-by":"crossref","first-page":"955","DOI":"10.2214\/ajr.172.4.10587128","article-title":"Injury to aberrant bile ducts during cholecystectomy: a common cause of diagnostic error and treatment delay","volume":"172","author":"Suhocki,","year":"1999","journal-title":"AJR Am. J. Roentgenol."},{"issue":"5","key":"R6-136-20260421","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"The SCARE 2023 guideline: updating consensus surgical CAse REport (SCARE) guidelines","volume":"109","author":"Sohrabi,","year":"2023","journal-title":"Int. J. Surg."},{"key":"R7-136-20260421","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1016\/j.ijscr.2017.07.027","article-title":"Double cystic duct, a review of literature with report of a new case","volume":"38","author":"Salih,","year":"2017","journal-title":"Int. J. Surg. Case Rep."},{"key":"R8-136-20260421","first-page":"439","article-title":"Anomal\u00edas cong\u00e9nitas de la ves\u00edcula biliar; 101 casos","volume":"103","author":"Caster,","year":"1956","journal-title":"Surg. Gynecol. Obstet."},{"issue":"2","key":"R9-136-20260421","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1016\/j.hbpd.2020.09.015","article-title":"Double cystic duct without being aware of the anatomic anomaly during laparoscopic cholecystectomy: the first case of reverse Y type anomaly","volume":"20","author":"Lim,","year":"2021","journal-title":"Hepatobiliary Pancreat. Dis. Int."},{"issue":"2","key":"R10-136-20260421","doi-asserted-by":"crossref","first-page":"62","DOI":"10.4240\/wjgs.v11.i2.62","article-title":"Safe laparoscopic cholecystectomy: adoption of universal culture of safety in cholecystectomy","volume":"11","author":"Gupta,","year":"2019","journal-title":"World J Gastrointest Surg"},{"issue":"3","key":"R11-136-20260421","doi-asserted-by":"crossref","first-page":"713","DOI":"10.2214\/ajr.175.3.1750713","article-title":"Evaluation of aberrant bile ducts before laparoscopic cholecystectomy: helical CT cholangiography versus MR cholangiography","volume":"175","author":"Hirao,","year":"2000","journal-title":"Am. J. Roentgenol."},{"issue":"7","key":"R12-136-20260421","doi-asserted-by":"crossref","first-page":"2827","DOI":"10.1007\/s00464-020-07568-7","article-title":"Safe cholecystectomy multi-society practice guideline and state-of-the-art consensus conference on prevention of bile duct injury during cholecystectomy","volume":"34","author":"Michael Brunt,","year":"2020","journal-title":"Surg. 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