{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T15:44:33Z","timestamp":1783698273625,"version":"3.55.0"},"reference-count":26,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2024,3,15]],"date-time":"2024-03-15T00:00:00Z","timestamp":1710460800000},"content-version":"vor","delay-in-days":14,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,3,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Anatomical variations of the biliary tree pose diagnostic and treatment challenges. While most are harmless and often discovered incidentally during procedures, some can lead to clinical issues and biliary complications, making knowledge of these variants crucial to prevent surgical mishaps. Here, we present an unusual and clinically significant case. A 61-year-old man is admitted to the hospital with epigastric pain and diagnosis of pancreatitis of biliary origin and intermediate risk of choledocholithiasis. Magnetic resonance cholangiopancreatography (MRCP) reported hepatolithiasis and choledocholithiasis, whereas endoscopic retrograde cholangiopancreatography showed cystic drain of the right hepatic duct. One month later the patient presented again to the emergency room with increasing abdominal pain and a computed tomography that demonstrated the presence of hepatic abscess and acute cholecystitis. The patient underwent percutaneous drain abscess and a subtotal laparoscopic cholecystectomy. Biliary anatomical variants present challenges on the diagnostic investigations, interventional and surgical procedures, understanding the possible complications is essential.<\/jats:p>","DOI":"10.1093\/jscr\/rjad637","type":"journal-article","created":{"date-parts":[[2024,3,15]],"date-time":"2024-03-15T15:20:43Z","timestamp":1710516043000},"source":"Crossref","is-referenced-by-count":2,"title":["An uncommon case of right hepatic duct entering cystic duct associated to multiple complications of biliary tract disease: acute pancreatitis, hepatolithiasis, acute cholecystitis and hepatic abscess"],"prefix":"10.1093","volume":"2024","author":[{"given":"Javier A","family":"Meza-Hernandez","sequence":"first","affiliation":[{"name":"Department of General and Endoscopic Surgery, Hospital General Dr Manuel Gea Gonzalez , Calzada de Tlalpan 4800, Mexico City 14090 , Mexico"},{"name":"Faculty of Medicine, Autonomous University of Mexico (UNAM) , Mexico City 14090 , Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asya","family":"Zubillaga-Mares","sequence":"additional","affiliation":[{"name":"Department of General and Endoscopic Surgery, Hospital General Dr Manuel Gea Gonzalez , Calzada de Tlalpan 4800, Mexico City 14090 , Mexico"},{"name":"Faculty of Medicine, Autonomous University of Mexico (UNAM) , Mexico City 14090 , Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minnet","family":"Serrano-Sanchez","sequence":"additional","affiliation":[{"name":"Department of General and Endoscopic Surgery, Hospital General Dr Manuel Gea Gonzalez , Calzada de Tlalpan 4800, Mexico City 14090 , Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco E","family":"Alvarez-Bautista","sequence":"additional","affiliation":[{"name":"Department of General and Endoscopic Surgery, Hospital General Dr Manuel Gea Gonzalez , Calzada de Tlalpan 4800, Mexico City 14090 , Mexico"},{"name":"Faculty of Medicine, Autonomous University of Mexico (UNAM) , Mexico City 14090 , Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mario","family":"Trejo-Avila","sequence":"additional","affiliation":[{"name":"Department of General and Endoscopic Surgery, Hospital General Dr Manuel Gea Gonzalez , Calzada de Tlalpan 4800, Mexico City 14090 , Mexico"},{"name":"Faculty of Medicine, Autonomous University of Mexico (UNAM) , Mexico City 14090 , Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alejandra","family":"Nu\u00f1ez-Venzor","sequence":"additional","affiliation":[{"name":"Department of General and Endoscopic Surgery, Hospital General Dr Manuel Gea Gonzalez , Calzada de Tlalpan 4800, Mexico City 14090 , Mexico"},{"name":"Faculty of Medicine, Autonomous University of Mexico (UNAM) , Mexico City 14090 , Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,3,15]]},"reference":[{"key":"2024031515001897400_ref1","doi-asserted-by":"crossref","first-page":"250","DOI":"10.12659\/PJR.895827","article-title":"Common and uncommon anatomical variants of intrahepatic bile ducts in magnetic resonance cholangiopancreatography and its clinical implication","volume":"81","author":"Sarawagi","year":"2016","journal-title":"Pol J Radiol"},{"key":"2024031515001897400_ref2","first-page":"12","article-title":"Abnormal anatomical variations of extra-hepatic biliary tract, and their relation to biliary tract injuries and stones formation","volume":"7","author":"Khayat","year":"2014","journal-title":"Gastroenterology Res"},{"key":"2024031515001897400_ref3","doi-asserted-by":"crossref","first-page":"841","DOI":"10.1007\/s11547-008-0298-x","article-title":"Congenital anomalies and variations of the bile and pancreatic ducts: magnetic resonance 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