Asian Journal of Case Reports in Surgery

Introduction: Abnormal anatomy of the biliary duct are common, and failure to recognize them may lead to complications during operative or endoscopic procedures. The diagnosis is usually established during surgery.

Presentation of the Case:  we have reported the case of a 46-year-old patient with a history of epilepsy and psychosis under treatment, presenting upper right abdominal pain, admitted at an academic medical center, with the intra operative discovery of a duplicated biliary duct, the accessory cystic duct was anterior the primary cystic duct and drained in the common biliary duct, both cystic ducts were clipped, and no complications occurred during or after the laparoscopic cholecystectomy.

Discussion: Double gall bladders with double cystic ducts are not an uncommon occurrence, however a double cystic duct with a sing gall bladder is a an extremely rare biliary duct abnormality, several authors reported the need to rely on per operative cholangiography to mitigate the risk of biliary injury.

Conclusion: Surgeons must be aware of the different biliary duct abnormalities to minimize the risk for the patients.