{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T04:30:10Z","timestamp":1777437010839,"version":"3.51.4"},"reference-count":8,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,6,27]],"date-time":"2022-06-27T00:00:00Z","timestamp":1656288000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"Introduction<\/jats:title>A biliary anomaly is occasionally encountered, however, a double cystic duct is exceedingly rare during surgery. It is pivotal for surgeons to recognize the anatomic variations in Cholangiography which is performed under fluoroscopic guidance Intraoperatively to prevent possible complications.<\/jats:p><\/jats:sec>Case Presentation<\/jats:title>Herein, the case of a 66-year-old female patient with acute cholecystitis, in which preoperative Magnetic Resonance Cholangiopancreatograph (MRCP) did not identify a single gallbladder with double cystic ducts, is presented. Intraoperatively we identified a double cystic duct and it was safely ligated with clips. Anatomic variability was also confirmed by Cholangiography which was performed under fluoroscopic guidance. Furthermore, the patient was symptom-free through 1 year of follow-up assessment.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>In particular, when we do not identify anatomic variability based on imaging, cholangiography under fluoroscopic guidance during surgery was a powerful tool that may clearly show the anomaly of a single gallbladder with double cystic ducts.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fsurg.2022.892927","type":"journal-article","created":{"date-parts":[[2022,6,27]],"date-time":"2022-06-27T06:11:01Z","timestamp":1656310261000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Double Cystic Duct: Preoperative use of MRCP Without Being Aware of the Anatomic Anomaly: A Case Report"],"prefix":"10.3389","volume":"9","author":[{"given":"Zhi","family":"Liang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junsheng","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yonggui","family":"Liang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jijun","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaobiao","family":"Song","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2022,6,27]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"710","DOI":"10.1001\/jama.1961.63040080016020a","article-title":"Cystic duct reduplication","volume":"175","author":"Perelman","year":"1961","journal-title":"JAMA"},{"key":"B2","doi-asserted-by":"publisher","first-page":"391","DOI":"10.1089\/109264202320884162","article-title":"Double cystic duct: a rare biliary anomaly encountered at laparoscopic cholecystectomy","volume":"12","author":"Shivhare","year":"2002","journal-title":"J Laparoendosc Adv Surg Tech A"},{"key":"B3","doi-asserted-by":"publisher","first-page":"363","DOI":"10.1016\/s0039-6109(05)70410-2","article-title":"Embryology, anatomy, and surgical applications of the extrahepatic biliary system","volume":"80","author":"Adkins","year":"2000","journal-title":"Surg Clin North Am"},{"key":"B4","doi-asserted-by":"publisher","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":"B5","doi-asserted-by":"publisher","first-page":"1020","DOI":"10.1016\/s0003-3944(01)00642-3","article-title":"[Accessory cystic duct discovered by intraoperative cholangiography during cholecystectomy]","volume":"126","author":"Bernard","year":"2001","journal-title":"Ann Chir"},{"key":"B6","doi-asserted-by":"publisher","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":"AJR Am J Roentgenol"},{"key":"B7","doi-asserted-by":"publisher","first-page":"102","DOI":"10.1016\/j.ijscr.2017.06.013","article-title":"Double cystic duct preoperatively diagnosed and successfully treated with laparoscopic cholecystectomy: a case report","volume":"37","author":"Fujii","year":"2017","journal-title":"Int J Surg Case Rep."},{"key":"B8","doi-asserted-by":"publisher","first-page":"616320","DOI":"10.3389\/fsurg.2021.616320","article-title":"Management of patients with acute cholecystitis after percutaneous cholecystostomy: from the acute stage to definitive surgical treatment","volume":"8","author":"Hung","year":"2021","journal-title":"Front Surg"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2022.892927\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,6,27]],"date-time":"2022-06-27T06:11:02Z","timestamp":1656310262000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2022.892927\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,27]]},"references-count":8,"alternative-id":["10.3389\/fsurg.2022.892927"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2022.892927","relation":{},"ISSN":["2296-875X"],"issn-type":[{"value":"2296-875X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,6,27]]},"article-number":"892927"}}