Laparoscopic excision of a triple gallbladder.

Area of Science:

• Gastroenterology and Hepatobiliary Surgery
• Congenital Anomalies
• Surgical Case Reports

Background:

• Triplication of the gallbladder is an extremely rare congenital anomaly of the biliary tract, with fewer than ten cases documented globally.
• Biliary colic and choledocholithiasis are common presentations that can necessitate surgical intervention.

Observation:

• A patient presenting with biliary colic and choledocholithiasis underwent laparoscopic cholecystectomy.
• Preoperative imaging, including ultrasound and ERCP (Endoscopic Retrograde Cholangiopancreatography), did not identify the presence of a triple gallbladder.
• The triple gallbladder anomaly was discovered during the laparoscopic procedure.

Findings:

• The case represents the first documented instance of a laparoscopic excision of a triple gallbladder.
• Pathological examination confirmed the diagnosis of a triple gallbladder.
• The patient experienced an uncomplicated postoperative recovery and remained symptom-free.

Implications:

• This case underscores the critical role of meticulous preoperative and perioperative imaging in identifying and managing rare biliary tract anomalies.
• Laparoscopic approaches can be safely employed for the dissection and excision of complex congenital gallbladder abnormalities.
• Enhanced diagnostic vigilance is crucial for surgical planning in cases of unusual biliary anatomy.