Cystic duct anatomy has been quite variable in its presentation, but duplication and bifurcation of the cystic duct draining a single gall bladder is an extremely rare scenario. We present a case of reverse “Y” anomaly of the cystic duct in a 47-year-old male who underwent laparoscopic cholecystectomy (LC). Only a single case of a reverse “Y” cystic duct anomaly was found to be reported in the English literature which was an incidental finding intra-operatively. Anatomical variations being rare are often missed during pre-operative imaging. Careful dissection while delineating the anatomy and proceeding with caution during every laparoscopic cholecystectomy is ideal to avoid ductal injury.
Key words: Cystic duct anomaly, bifurcation of cystic duct, congenital cystic duct anomalies, Reverse Y anomaly of the cystic duct
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