Acute cholecystitis with double gall bladder diaphragm

Area of Science:

• Gastroenterology and Hepatobiliary Medicine
• Congenital Malformations
• Surgical Pathology

Background:

• Gall bladder diaphragm is a rare congenital anomaly characterized by gall bladder segmentation into multiple chambers.
• This malformation can impede normal bile flow, acting as a non-return valve.
• Impaired drainage is a known risk factor for gallstone formation and subsequent cholecystitis.

Purpose of the Study:

• To report a rare case of acute cholecystitis secondary to a double vesicular diaphragm.
• To highlight the clinical presentation and management of this unusual congenital anomaly.

Main Methods:

• Case report detailing clinical presentation, diagnostic imaging (e.g., ultrasound, CT), and intraoperative findings.
• Review of relevant literature on gall bladder diaphragms and their complications.

Main Results:

• The patient presented with symptoms consistent with acute cholecystitis.
• Diagnostic imaging revealed a double vesicular diaphragm.
• Surgical intervention confirmed the presence of the anomaly and addressed the cholecystitis.

Conclusions:

• Gall bladder diaphragm, particularly a double vesicular type, is a rare cause of acute cholecystitis.
• Early diagnosis and surgical management are crucial for favorable outcomes.
• This case underscores the importance of considering rare congenital anomalies in the differential diagnosis of cholecystitis.