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Original Research
Online Published: 29 Sep 2016
 
RMJ. 2016; 41(3): 316-319


Anatomical variations: Dangerous culprits behind difficult cholecystectomies

Bushra Shaikh, Imammudin Balkhani Baloach, Saima Athar Shaikh.


Abstract
Objective: To detect the frequency of anatomical variations of gallbladder, biliary tree and biliary vasculature during open and laparoscopic cholecystectomy.
Methodology: In our study, 994 patients underwend open/Laparoscopic cholecystectomy.
Results: 55 patients had anomalous anatomy of extra hepatic biliary tree (EHBT). These variations were intrahepatic gall bladder in 12 cases, floating gall bladder in 2 cases, phyragian cap gall bladder in 3 cases, short cystic duct in 10 cases, long cystic duct in 7 cases, accessory cholecystohepatic duct in 5 cases, Moynihan’s hump in 2 cases, cystic artery anterior to cystic duct in 5 cases, cystic artery posterior to cystic duct in 4 cases, short cystic artery in 2 cases and aberrant cystic artery in 3 cases. Operative difficulties were encountered in 9 out of 50 patients in whom these anomalies were well recognized during surgery. In remaining 5 patients, anatomical variations remained unrecognized during surgery and lead to complications like bleeding and biliary leak.
Conclusion: Congenital anatomical variations in EHBT are not an uncommon happening as is usually considered; it is only that they are not well recognized during surgery.

Key words: Extrahepatic biliary tree, floating gall bladder, phyragian cap, moynihan's hump


 
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How to Cite this Article
Pubmed Style

Shaikh B, Baloach IB, Shaikh SA. Anatomical variations: Dangerous culprits behind difficult cholecystectomies. RMJ. 2016; 41(3): 316-319.

Web Style

Shaikh B, Baloach IB, Shaikh SA. Anatomical variations: Dangerous culprits behind difficult cholecystectomies. https://www.rmj.org.pk/?mno=218777 [Access: October 30, 2025].

AMA (American Medical Association) Style

Shaikh B, Baloach IB, Shaikh SA. Anatomical variations: Dangerous culprits behind difficult cholecystectomies. RMJ. 2016; 41(3): 316-319.


Vancouver/ICMJE Style

Shaikh B, Baloach IB, Shaikh SA. Anatomical variations: Dangerous culprits behind difficult cholecystectomies. RMJ. (2016), [cited October 30, 2025]; 41(3): 316-319.


Harvard Style

Shaikh, B., Baloach, . I. B. & Shaikh, . S. A. (2016) Anatomical variations: Dangerous culprits behind difficult cholecystectomies. RMJ, 41 (3), 316-319.


Turabian Style

Shaikh, Bushra, Imammudin Balkhani Baloach, and Saima Athar Shaikh. 2016. Anatomical variations: Dangerous culprits behind difficult cholecystectomies. Rawal Medical Journal, 41 (3), 316-319.


Chicago Style

Shaikh, Bushra, Imammudin Balkhani Baloach, and Saima Athar Shaikh. "Anatomical variations: Dangerous culprits behind difficult cholecystectomies." Rawal Medical Journal 41 (2016), 316-319.


MLA (The Modern Language Association) Style

Shaikh, Bushra, Imammudin Balkhani Baloach, and Saima Athar Shaikh. "Anatomical variations: Dangerous culprits behind difficult cholecystectomies." Rawal Medical Journal 41.3 (2016), 316-319. Print.


APA (American Psychological Association) Style

Shaikh, B., Baloach, . I. B. & Shaikh, . S. A. (2016) Anatomical variations: Dangerous culprits behind difficult cholecystectomies. Rawal Medical Journal, 41 (3), 316-319.


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