Repair of a Post-Hepatectomy Posterior Sectoral Duct Injury Secondary to Anomalous Bile Duct Anatomy Using a Novel Combined Surgical-Interventional Radiologic Approach
Figure 7
Normal hepatic duct anatomy and common variations (Couinaud 1957). (a) Typical anatomy. (b) Triple confluence. (c1) Right anterior draining into common hepatic duct. (c2) Right posterior duct drainage into common hepatic duct. (d) Right sectoral duct into the left hepatic ductal system. Red circle indicates the anatomy of the patient in this study. (e) Absence of confluence. (f) Absence of right hepatic duct. Drainage of right posterior duct into the cystic duct. The circled image corresponds to the biliary anatomy of this patient. Adapted and with permission to publish from Surgery of Liver, Biliary tract, and Pancreas, L. H. Blumgart editor. (2007, Saunders Elsevier: Philadelphia page 44).
