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Related Concept Videos

Gallbladder01:17

Gallbladder

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The gallbladder is a small, pear-shaped organ that plays a crucial role in our digestive system. Measuring about 10 cm in length, it is comparable in size to a kiwi fruit and is located in a hollow area on the lower surface of the liver. The gallbladder's primary function is to store and concentrate bile, a fluid produced by the liver that aids in digestion.
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Bile is a crucial bodily fluid, characterized by its yellow-green color and alkaline nature. Produced in the liver, it is transported through the common hepatic duct into either the cystic duct, leading to the gallbladder, or directly into the common bile duct. The flow of bile is regulated by the sphincter of Oddi located at the entrance of the duodenum. When this sphincter is closed, bile is redirected to the gallbladder for storage and concentration.
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Related Experiment Video

Updated: Apr 1, 2026

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
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Double Cystic Duct in a Septated Gallbladder.

Wael Otaibi1, Giang Quach2, Brian Burke3

  • 1St Charles Hospital, Oregon, OH, USA.

Journal of Investigative Medicine High Impact Case Reports
|October 2, 2015
PubMed
Summary

A rare biliary system variation, a double cystic duct in one gallbladder, was successfully managed. This case highlights a safe laparoscopic cholecystectomy despite the complex anatomy, preventing complications.

Keywords:
accessory cystic ductdouble cystic ductlaparoscopic cholecystectomy

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Area of Science:

  • Gastroenterology and Hepatobiliary Surgery
  • Anatomical Variations
  • Surgical Techniques

Background:

  • Anatomical variations in the biliary system can complicate surgical procedures.
  • A double cystic duct within a single gallbladder is an exceptionally rare anomaly.
  • Accurate preoperative and intraoperative assessment is crucial for managing biliary anomalies.

Purpose of the Study:

  • To report a case of a double cystic duct in a single gallbladder.
  • To demonstrate the successful surgical management of this rare anomaly.
  • To emphasize the importance of intraoperative cholangiography in preventing ductal injuries.

Main Methods:

  • Case presentation of a 54-year-old male patient.
  • Diagnostic imaging including intraoperative cholangiogram.
  • Laparoscopic cholecystectomy performed for symptomatic gallbladder disease.

Main Results:

  • Identification of a septated gallbladder with two distinct cystic ducts.
  • Successful completion of laparoscopic cholecystectomy.
  • No intraoperative or postoperative ductal injuries or complications were observed.

Conclusions:

  • Laparoscopic cholecystectomy is feasible and safe for managing a double cystic duct anomaly.
  • Intraoperative cholangiography is invaluable for delineating complex biliary anatomy.
  • Awareness of rare biliary variations is essential for surgical success.