Cystic duct duplication with a single gallbladder is one of the most uncomm
on abnormalities of the biliary tract, with fewer than 15 instances publish
ed. The authors describe a 49-year-old patient undergoing a laparoscopic ch
olecystectomy in whom a second cystic duct was found, initially misdiagnose
d as the biliary tract. The cholecystectomy was performed successfully with
the aid of intraoperative cholangiography. It is the first time a duplicat
ed cystic duct has been treated successfully using a laparoscopic approach.