Asian Journal of Case Reports in Surgery

Congenital anomalies of the gallbladder, cystic artery, and cystic duct that complicate surgical procedures are uncommon developmental abnormalities arising during embryogenesis. Surgeons must meticulously identify biliary anatomy to ensure procedural safety and prevent potentially catastrophic complications.

Herein, we present the case of a 59-year-old previously healthy male who searched for medical advice for recurrent right upper quadrant pain radiating to his back. The pain was characterised by a sudden onset with a progressive course over three days, accompanied by nausea and vomiting, but without fever or altered bowel habits. Laboratory investigations were within normal parameters, and abdominal ultrasonography confirmed chronic calculus cholecystitis. During laparoscopic cholecystectomy, we encountered an extremely rare congenital anomaly featuring an unusually elongated cystic duct and artery. The patient recovered well and was discharged four days postoperatively.