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Fig. 1A. —79-year-old woman with rare combination of biliary anomalies. Photograph taken during pancreaticoduodenectomy shows biliary anomalies. Gallbladder was removed, and cystic duct was ligated and divided proximal to its junction with aberrant hepatic duct (white arrowhead). Common hepatic duct (black arrow) and aberrant hepatic duct (white arrow) were transected separately. Probe is inserted through stump of aberrant hepatic duct. Pinhole bile leakage in gallbladder bed was sutured (black arrowhead). CHA = common hepatic artery, RHA = replaced right hepatic artery, P = body of pancreas, SMV = superior mesenteric vein.

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