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Gall Bladder Duplication with Choledochal Cyst: A Rare Entity.
Rahul Deo Sharma1, Achugatla Sushma1, Surendra Singh1
1Department of Paediatric Surgery, Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India.
Journal of Indian Association of Pediatric Surgeons
|August 28, 2023
Summary
A pediatric case of acute pancreatitis revealed a rare double gallbladder, dilated common bile duct with stones, and a choledochal cyst. Surgical resection and reconstruction led to a successful asymptomatic outcome.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Congenital Anomalies
Background:
- Biliary atresia and choledochal cysts are rare congenital biliary tract anomalies in children.
- Double gallbladder is an extremely rare congenital anomaly with few reported cases.
Observation:
- A 4-year-old boy presented with symptoms of acute pancreatitis, including abdominal pain, vomiting, and jaundice.
- Diagnostic imaging revealed a double gallbladder, dilated common bile duct (CBD) with intraluminal calculi, and a Type II choledochal cyst.
Findings:
- The patient underwent successful surgical resection of the double gallbladder and dilated CBD, followed by hepatico-docho-jejunostomy.
- Postoperative follow-up confirmed the patient remained asymptomatic, indicating a favorable surgical outcome.
Implications:
- This case underscores the critical role of accurate preoperative diagnosis in managing complex congenital biliary anomalies.
- Early and precise diagnosis can mitigate surgical challenges and reduce the risk of postoperative complications in pediatric patients.
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