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2019, Number 1

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Ann Hepatol 2019; 18 (1)

A Duplicated Gallbladder in a Patient Presenting with Acute Cholangitis. A Case Study and a Literature Review

Vezakis A, Pantiora E, Giannoulopoulos D, Fontara S, Kontis E, Polydorou A, Fragulidis G

Language: English
References: 19
Page: 240-245
PDF size: 389.69 Kb.


ABSTRACT

Gallbladder duplication can present a clinical challenge primarily due to difficulties with diagnosis and identification. Recognition of this anomaly and its various types is important since it can complicate a gallbladder disease or a simple hepatobiliary surgical procedure. The case report of a 63-year-old woman who presented with cholangitis and underwent a successful laparoscopic management of symptomatic gallbladder duplication is described, emphasizing several important considerations. Using ERCP, MRCP and 3D reconstructions the two cystic ducts with one common bile duct were identified. A review of the literature in referral of this variant, its anatomical classifications and significance to clinical and surgical practice is included. In conclusion, gallbladder anomalies should be anticipated in the presence of a cystic lesion reported around the gallbladder when evaluating radiologic studies. In case of surgery, preoperative diagnosis is essential to prevent possible biliary injuries or reoperation if accessory gallbladder has been overlooked during initial surgery. Laparoscopic cholecystectomy remains feasible for intervention can be safely done and awareness is necessary to avoid complications or multiple procedures.


REFERENCES

  1. Botsford A, McKay K, Hartery A, Hapgood C. MRCP imaging of duplicate gallbladder: a case report and review of the literature. Surg Radiol Anat 2015; 30: 425-9. doi: 10.1007/ s00276-015-1456-1. Epub 2015 Mar 11.

  2. Paraskevas GK, Raikos A, Ioannidis O, Papaziogas B. Duplicated gallbladder: surgical application and review of the literature. Ital J Anat Embryol 2011; 116: 61-6.

  3. Yu W, Yuan H, Cheng S, Xing Y, Yan W. A double gallbladder with a common bile duct stone treated by laparoscopy accompanied by choledochoscopy via the cystic duct: A case report. Exp Ther Med 2016; 12: 3521-6. doi: 10.3892/ etm.2016.3834. Epub 2016 Oct 25.

  4. Borghi F, Giraudo G, Geretto P, Ghezzo L. Perforation of Missed Double Gallbladder after Primary Laparoscopic Cholecystectomy: Endoscopic and Laparoscopic Management. J Laparoendosc Adv Surg Tech A 2008; 18: 429-31. doi: 10.1089/lap.2007.0088.

  5. Boyden EA. The accessory gallbladder. An embryological and comparative of aberrant biliary vesicles occurring in man and the domestic mammals. Am J Anat 1926; 32: 177- 231.

  6. Sherren J. A double gallbladder removed by operation. Ann Surg 1911; 54: 204-5.

  7. Gross RE. Congenital anomalies of the gallbladder. Arch Surg 1932; 32: 131-62.

  8. Harlaftis N, Gray SW, Skandalakis JE. Multiple gallbladders. Surg Gynecol Obstet 1977; 145: 928-34.

  9. Alicioglu B. An incidental case of triple gallbladder. World J Gastroentrol 2007: 13; 2004-6.

  10. Barnes S, Nagar H, Levine C, Santo M, Sold A, Mercer D, Kessler A. Triple gallbladder: preoperative sonographic diagnosis. J Ultrasound Med 2004; 23: 1399-402.

  11. Schroeder C, Draper KR. Laparoscopic cholecystectomy for triple gallbladder. Surg Endosc 2003; 17: 1322. Epub 2003 Jun 13.

  12. Mann CD, Briggs CD, Neal CP, Rajesh A, Berry DP. Defining ductal anatomy using CT cholangiography in a patient with gallbladder duplication. Br J Radiol 2009; 82: e175-7. doi: 10.1259/bjr/57068706.

  13. Walbolt TD. Lalezarzadeh F. Laparoscopic management of a duplicated gallbladder: a case study and anatomic history. Surg Laparosc Endosc Percutan Tech 2011; 2: e156-8. doi: 10.1097/SLE.0b013e31821d47ce.

  14. Al Rawahi A, Al Azri Y, Al Jabri S, Alfadli A, Al Aghbari S. Successful laparoscopic management of duplicate gallbladder: A case report and review of literature. Int J Surg Case Rep 2016; 21:142-6. doi: 10.1016/j.ijscr.2016.03.002. Epub 2016 Mar 6.

  15. Schroeder T, Malago M, Debatin JF, Goyen M, Nadalin S, Ruehm SG. All-in-one imaging protocols for the evaluation of potential living liver donors: comparison of magnetic resonance imaging and multidetector computed tomography. Liver Transplantation 2005; 11: 776-87.

  16. Cueto GJ, Weber A, Serrano BF, Tanur TB. Double gallbladder treated successfully by laparoscopy. J Laparoendosc Surg 1993; 3: 153-5.

  17. Desolneux G, Mucci S, Lebigot J, Arnaud JP, Hamy A. Duplication of the gallbladder. A case report. Gastroenterol Res Pract 2009; 2009: 483473. doi: 10.1155/2009/483473. Epub 2009 Nov 30.

  18. Guajardo-Salinas GE, Martinez-Ugarte ML, Abourjaily G. The use of intraoperative cholangiogram during laparoscopic double cholecystectomy. J Surg Case Rep 2010; 2010(7): 5. doi: 10.1093/jscr/2010.7.5.

  19. Otaibi W, Quach G, Burke B. Double Cystic Duct in a Septated Gallbladder. J Investig Med High Impact Case Rep 2015; 3: 2324709615579105. doi: 10.1177/2324709615579105. eCollection 2015 Apr-Jun.




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