A pediatric case of double gallbladder with gallstone

Area of Science:

• Gastroenterology and Hepatobiliary Surgery
• Pediatric Surgery
• Medical Imaging

Background:

• Double gallbladder (cholelaba duplex) is an uncommon congenital anomaly.
• While often asymptomatic, it can manifest with abdominal pain and complications like gallstones.
• Congenital heart disease can coexist with other rare anomalies.

Observation:

• A pediatric patient with pre-existing congenital heart disease presented with symptoms suggestive of gallbladder pathology.
• Diagnostic imaging revealed a rare case of double gallbladder accompanied by symptomatic gallstones.
• The patient's complex medical history included congenital heart disease, necessitating careful surgical planning.

Findings:

• The surgical team successfully managed the double gallbladder with gallstones in a pediatric patient.
• Cholecystectomy was performed, addressing the symptomatic gallstones and the rare anatomical variant.
• The patient experienced a favorable outcome with no postoperative complications.

Implications:

• This case highlights the importance of considering rare anomalies like double gallbladder in pediatric patients with abdominal pain.
• Successful surgical management in complex pediatric cases underscores the need for precise diagnosis and tailored surgical approaches.
• Early diagnosis and intervention for gallbladder pathology in children, even with comorbidities, can lead to positive outcomes.