case_images: PMC9271822_01
case_images: Representative coronal plane enhanced computed tomography (CT) image from a 66-year-old female patient with persistent pain for the previous 10 h, showing a typical-looking inflamed gallbladder (arrow) with marked distention and wall thickening.
case_images: fsurg-09-892927-g001.jpg
case_images: PMC9271822_01_fsurg-09-892927-g001.jpg
case_images: F1
case_images: A clinical diagnosis of acute cholecystitis was supported by computed tomography findings of gallbladder lumen distention with gall stones, moreover, there was the discovery of wall thickening in computed tomography (Figure 1).
case_images: Magnetic Resonance Cholangiopancreatography (MRCP) shows the gallbladder to be filled with stones. The cystic duct is low confluence to common bile duct (CBD) in MRCP.
case_images: fsurg-09-892927-g002.jpg
case_images: PMC9271822_01_fsurg-09-892927-g002.jpg
case_images: F2
case_images: Subsequent Magnetic Resonance Cholangiopancreatography (MRCP) was performed for preoperative evaluation (Figure 2). Additionally, the cystic duct showed a low confluence of CD to CBD in MRCP (Figure 2).
case_images: Representative cholangiogram at the supine position from a 66-year-old female patient who had presented with persistent pain for the previous 10 h, showing: the accessory cystic duct (arrow) draining into the right hepatic bile ductal system (A); between the inflow accessory cystic duct (right arrow) and outflow cystic duct (left arrow) of contrast agents demonstrated double cystic duct (B).
case_images: fsurg-09-892927-g003.jpg
case_images: PMC9271822_01_fsurg-09-892927-g003.jpg
case_images: F3
case_images: The double cystic duct with a single gallbladder hypothesis was valid (Figure 3).