International Journal of Research in Medical Sciences | July 2017 | Vol 5 | Issue 7 Page 3071 International Journal of Research in Medical Sciences Parmar P et al. Int J Res Med Sci. 2017 Jul;5(7):3071-3075 www.msjonline.org pISSN 2320-6071 | eISSN 2320-6012 Original Research Article Biliary ductal variations and its clinical implications: a cadaveric study Priyanka Parmar 1 *, Suresh Kanta Rathee 1 , SK Dhattarwal 2 , Sanjay Marwah 3 INTRODUCTION Extrahepatic biliary tract is comprised of cystic duct, right and left hepatic duct, common hepatic duct and common bile duct. It is known for the transportation of bile from liver to 2 nd part of duodenum. Accessory bile ducts are among the well-known variations of this region. These are narrow channels running from the right lobe of the liver in to the anterior surface of the body of the gall bladder usually. In cases, the cystic duct opens into an accessory hepatic duct rather than in to the common hepatic duct. 1 Persistence of fetal connection between liver and gall bladder or delayed division of hepatic antrum into hepatic and cystic diverticula may lead to accessory ducts. 2 Knowledge of the embryonic development is helpful in understanding the location and pattern of anomalies of the biliary duct system. 3 These anomalies may add to operative difficulties during cholecystectomy and due to the scarcity of studies of this regional anatomy, the exact incidence of such variations is not known. The present study is a humble attempt to reinforce awareness among clinicians and anatomists regarding ductal variations in order to reduce postoperative morbidity and mortality. 4 METHODS The present study was conducted on 50 adult Human cadavers in the department of Anatomy in collaboration with the department of Forensic Medicine and department of Surgery, BD Sharma PGIMS, Rohtak, India during medico-legal autopsies done in the 1 Department of Anatomy, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India 2 Department of Forensic Medicine, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India 3 Department of Surgery, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India Received: 22 April 2017 Accepted: 18 May 2017 *Correspondence: Dr. Priyanka Parmar, E-mail: drpriyamlbmc@gmail.com Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20172989 ABSTRACT Background: Biliary ductal region being frequently abnormal has been the subject of research since long time for anatomists, surgeons and radiologists as well. Methods: The present study was carried out in the department of Anatomy at PGIMS, Rohtak on 50 specimens of liver taken unblock with associated structures. Results: Accessory hepatic and accessory cystic ducts were observed in 4% cases each. 2% cases exhibited abnormal low fusion of cystic duct with common hepatic duct. Conclusions: These anomalies may add to postoperative complications if ignored. Present study is a step in the direction of creating awareness about these variations among the clinicians. Keywords: Accessory, Biliary, Hepatic