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Related Experiment Videos

Accessory gallbladder originating from the right hepatic duct.

D Weibel1, M Kaufmann, H J Riedtmann-Klee

  • 1Department of Surgery, Spital Zimmerberg, Asylstrasse 19, CH - 8810 Horgen, Switzerland.

Surgical Endoscopy
|May 17, 2001
PubMed
Summary

A patient with a duplicate gallbladder experienced persistent pain after initial surgery. A second procedure revealed the cause: an accessory gallbladder with a gallstone, a rare anatomical finding.

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Area of Science:

  • Gastroenterology and Hepatobiliary Surgery
  • Surgical Anatomy
  • Medical Imaging

Background:

  • Cholelithiasis (gallstones) is a common condition often treated with laparoscopic cholecystectomy.
  • Post-cholecystectomy pain can occur, necessitating further investigation.
  • Anatomical variations of the biliary system can complicate surgical procedures.

Observation:

  • A patient presented with persistent right upper abdominal pain following a laparoscopic cholecystectomy for symptomatic cholecystolithiasis.
  • Sonography and endoscopic retrograde cholangiography (ERCP) revealed an unexpected accessory gallbladder.
  • The accessory gallbladder contained a residual gallstone and its cystic duct originated directly from the right hepatic duct.

Findings:

  • The patient had a rare congenital anomaly: a duplicate gallbladder with two separate cystic ducts and arteries.

Related Experiment Videos

  • The accessory cystic duct's direct origin from the right hepatic duct is a previously unreported anatomical variation.
  • The persistent pain was attributed to the undiagnosed accessory gallbladder and retained gallstone.

    • Implications:

    • This case highlights the importance of considering rare anatomical variations in the biliary system, even after seemingly routine procedures.
    • Advanced imaging techniques like ERCP are crucial for diagnosing complex biliary anomalies.
    • Understanding such variations is vital for surgeons to prevent complications and ensure complete treatment of biliary diseases.