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Complete laparoscopic cholecystectomy for a duplicated gallbladder: A case report.

Dong-Kai Zhou1,2,3, Yu Huang1,2,3, Yang Kong1,2,3

  • 1Department of Hepatobiliary and Pancreatic Surgery, Department of Surgery, The Second Affiliated Hospital, School of Medicine, Zhejiang University.

Medicine
|January 3, 2020
PubMed
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Duplicated gallbladder is a rare congenital condition. Complete surgical removal, often aided by intraoperative cholangiography, is key to preventing recurrence in symptomatic cases.

Area of Science:

  • Gastroenterology
  • Surgical Anatomy
  • Congenital Abnormalities

Background:

  • Duplication of the gallbladder (GB) is a rare congenital anomaly, affecting 1 in 4000–5000 births.
  • It presents in three types: type I (split primordial), type II (separate GBs with individual cystic ducts), and type III (triple GBs with variable ductal drainage).
  • Patients are often asymptomatic, leading to potential diagnostic challenges and increased surgical risks during cholecystectomy.

Observation:

  • A 62-year-old woman presented with chronic upper abdominal pain and nausea.
  • Abdominal ultrasound revealed GB polyps; CT demonstrated unusual GB structures, including an extra tubule.
  • Histopathology confirmed a diagnosis of duplicated gallbladder.

Findings:

  • The patient underwent successful laparoscopic cholecystectomy with complete excision of the duplicated gallbladder.

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  • Postoperative recovery was uneventful, with symptom resolution at 6-month follow-up.

    • Implications:

    • Total removal of duplicated gallbladders is crucial for managing symptomatic disease and preventing recurrence.
    • Laparoscopic cholecystectomy is a viable approach, with intraoperative cholangiography recommended for accurate identification and resection.
    • While incidental findings require further study, symptomatic duplicated gallbladders necessitate complete surgical excision.