Long, parallel cystic duct in a patient presenting with obstructive jaundice

Cystic duct anomalies are commonly seen on ERCP and MRCP and can pose difficulty during laparoscopic surgery. We report a rare case of a 30-year-old female patient who presented with right upper quadrant pain, tenderness, jaundice, elevated liver function tests, and ultrasound evidence of gall bladder calculi with dilated CBD. Endoscopicretrograde cholangiopancreatography (ERCP) revealed a long, cystic duct running parallel to CBD. Laparoscopic cholecystectomy confirmed long cystic duct.