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Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision
Published on: May 2, 2025
846
[Case of laparoscopic cholecystectomy for a double gallbladder]
Susumu Nakashima1, Ken-ichiro Fukuda, Osamu Kinoshita
1Department of Surgery, Saiseikai Shiga Hospital. nakashi@koto.kpu-m.ac.jp
Summary
A rare double gallbladder anomaly was found in a 71-year-old woman. Surgical removal was successful, highlighting the need for precise diagnosis in such biliary tract malformations.
Area of Science:
- Gastroenterology and Hepatobiliary Surgery
- Congenital Anomalies
- Diagnostic Imaging
Background:
- Congenital anomalies of the biliary system are uncommon.
- Double gallbladder (cholelaba duplex) is a rare malformation.
- Accurate diagnosis is crucial for effective management.
Observation:
- A 71-year-old woman presented with right hypochondrial pain.
- Magnetic Resonance Cholangiopancreatography (MRCP) or Endoscopic Retrograde Cholangiopancreatography (ERCP) confirmed a double gallbladder with gallstones.
- The patient underwent successful laparoscopic removal of both gallbladders.
Findings:
- This case represents the 88th reported instance of double gallbladder in Japanese literature.
- Double gallbladder is a rare anatomical variant of the biliary tract.
- Laparoscopic cholecystectomy was performed for symptomatic gallstones in a double gallbladder.
Implications:
- Detailed preoperative imaging is essential for diagnosing double gallbladder.
- Accurate preoperative diagnosis prevents inadvertent injury to the biliary ductal system during surgery.
- This case underscores the importance of recognizing rare biliary anomalies for surgical planning.
