case_images: PMC9851660_01
case_images: Intraoperative cholangiogram.
case_images: rjad001f1.jpg
case_images: PMC9851660_01_rjad001f1.jpg
case_images: f1
case_images: About 20 mL of 50-50 mixture of saline and iodinated contrast was injected under fluoroscopy (Fig. 1).
case_images: (A) Intraoperative view following cholangiogram. (B) Intraoperative view following fundus-first approach.
case_images: rjad001f2.jpg
case_images: PMC9851660_01_rjad001f2.jpg
case_images: f2
case_images: A second surgeon was called into the operating theatre for confirmation of findings, and the ductotomy was closed laparoscopically with Polydioxanone (PDS) sutures. 'Fundus first' dissection revealed a small 1.5 cm gallbladder and confirmed no discernible cystic duct (Fig. 2).
case_images: Gallbladder specimen.
case_images: rjad001f3.jpg
case_images: PMC9851660_01_rjad001f3.jpg
case_images: f3
case_images: Figure 3 demonstrates the small operative specimen.