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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.
Insights
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.
Abstract:
A 4-year-old male child presented with complaints of abdominal pain and vomiting along with yellowish discoloration of the eyes. Investigations were suggestive of acute pancreatitis and double gall bladder (GB) with dilated common bile duct (CBD) with intraluminal calculi and Type II choledochal cyst. He underwent surgical resection of double GB with dilated CBD with hepatico-docho-jejunostomy. On follow-up, the patient was asymptomatic. Our case highlights the importance of preoperative diagnosis to deal with increased operative difficulty and complications.
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