An International Publisher for Academic and Scientific Journals
Author Login
SAS Journal of Surgery | Volume-12 | Issue-05
Paradoxical Gallbladder Distension Revealing an Aberrant Cystic Duct Insertion in Hilar Cholangiocarcinoma: A Case Report
Benjelloun Touimi Kenza, Benzidane Kamal, Ameur Youssef, El Wassi Anas, Hajri Amal, Erguibi Driss, Boufettal Rachid, JAI Saad Rifki
Published: May 23, 2026 |
17
16
Pages: 465-469
Downloads
Abstract
Anatomical variations of the cystic duct insertion are common and represent a major risk factor for complications in biliary surgery. We report the case of a 74-year-old woman admitted for an icteric cholestatic syndrome revealing a hilar cholangiocarcinoma, associated with paradoxical gallbladder distension. Imaging, particularly magnetic resonance cholangiopancreatography (MRCP), suggested an anatomical variation of the cystic duct that could explain this atypical presentation. A bilio-digestive bypass combined with cholecystectomy was performed. This case highlights the importance of preoperative recognition of cystic duct anatomical variations to ensure safe surgical management.