Aragón QC, García TU, Duarte MAA, De Luna MLL

Language: Spanish
References: 8
Page: 125-128
PDF size: 301.04 Kb.

ABSTRACT

Introduction: Gallbladder duplication is one of the most uncommon existing congenital malformation, its incidence is one in every 4,000 living newborns. It is important to establish a proper pre-surgical diagnosis of this anatomic variant through imaging studies such as ultrasound and endoscopic retrograde cholangiopancreatography in order to avoid biliary tract lesions and anticipate possible complications. Case report: Patient 25 years male, who experienced classical cholecystitis clinical symptomatology, a liver and biliary tract ultrasound was performed with a report of a double gallbladder, then he was scheduled for laparoscopic surgery. Surgical technique: The procedure was started with an endoscopic retrograde cholangiopancreatography with a report of only one common bile duct and an image compatible with a large gallstone with only one gallbladder. Then a laparoscopic cholecystectomy was performed visualizing a double gallbladder and proceeding to dissect both duct and cystic artery, previous to the ligation and cut of these structures, the gallbladder was dissected from its hepatic bed identifying one artery and one cystic duct, ligating and cutting each structure separately, finishing the procedure without incidences. Conclusions: Laparoscopic cholecystectomy, in this case, was a safe option to resolve such pathology with the support of preoperative imaging studies.

REFERENCES

1. Boyden EA. The accessory gallbladder-an embryological and comprarative study of aberrant biliary vesicles occurring in man and the domestic mammals. Am J Anat. 1926; 38: 177-231.

2. Pérez TE, Espino CH, Bernal SF. Vesícula biliar doble. Informe de un caso. Rev Med Hosp Gen Mex. 2004; 67: 94-97.

3. Causey MW, Miller S, Fernelious CA, Burgess JR, Brown TA, Newton C. Gallbladder duplication: evaluation, treatment, and classification. J Pediatric Surg. 2010; 45: 443-446.

4. Gigot J, Van Beers B, Goncette L, Etienne J, Collard A, Jadoul P et al. Laparoscopic treatment of gallbladder duplication-A plea for removal of both gallbladder. Surg Endosc. 1997; 11: 479-482.

5. Shiba H, Misawa T, Ito R, Ohki K, Igarashi T, Yanaga K. Duplicated gallbladder. Int Surg. 2014; 99: 77-78.

6. Pillay Y. Gallbladder duplication. Int J Surg Case Rep. 2015; 11: 18-20.

7. Horattas MC. Gallbladder duplication and laparoscopic management. Journal of Laparoendoscopic and Advanced Surgical Techniques A. 1998; 8: 231-235.

8. Schroeder C, Draper KR. Laparoscopic cholecystectomy for triple gallbladder. Surg Endosc. 2003; 17: 1322.