Accessory cystic duct identification in laparoscopic cholecystectomy
by U. Parampalli, S. Helme, G. Asal and P. Sinha
We report the case of a 53-year-old lady who underwent laparoscopic cholecystectomy and was found to have an accessory cystic duct close to the fundus. Careful dissection of the liver bed was done and the duct clipped preventing a bile leak. The presence of such ducts though rare should be identified during surgery to prevent potential complications. (Specialties Hepatobiliary Surgery; Colorectal Surgery: 10th November 2008) More...

Spontaneous rupture of mucinous cystadenoma of the pancreas
by Atindriya Biswas and Satyajit Bhattacharya
Pancreatic cysts that develop after abdominal trauma are generally considered to be pseudocysts. We present a patient with a post-traumatic peri-pancreatic cyst that later ruptured suddenly, leading to an acute abdomen. Following an urgent laparotomy and excision of the cyst, post-operative histopathological assessment showed this to be a mucinous cystadenoma of the pancreas. We have reviewed the literature on spontaneous rupture of mucinous cystadenomas of the pancreas. (HPB Surgery, February 2nd 2007) More...