Complicated triple gallbladder: clinical presentation and surgical approach
Libby R Copeland-Halperin1, Kunal Kapoor1, James B Piper2
1Inova Fairfax Hospital, Falls Church, Virginia, USA.
A rare case of triple gallbladder, a congenital anomaly, was discovered during surgery for suspected bile duct stones. This finding highlights the importance of considering rare anatomical variations in diagnosing and managing biliary tract diseases.
Area of Science:
- Gastroenterology
- Surgical Anatomy
- Embryology
Background:
- Choledocholithiasis is a common biliary tract condition.
- Congenital anomalies of the gallbladder are rare but can complicate diagnosis and treatment.
Observation:
- A patient with prior biliary symptoms presented with signs of choledocholithiasis.
- Surgical exploration revealed a triple gallbladder with numerous stones and inflammation.
Findings:
- Triple gallbladder is an extremely rare congenital anomaly, with only 16 prior cases reported.
- Etiology is linked to the failure of rudimentary bile ducts to regress during embryological development.
- A classification scheme for triple gallbladders based on size, location, and number is discussed.
Implications:
- Accurate diagnosis and surgical management are crucial for triple gallbladder.
- This anomaly can be associated with cholecystitis and gallbladder carcinoma.
- Awareness of rare anatomical variations is essential for effective patient care.
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