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Duplicated gallbladder with stones: Rare anomaly of the biliary system
Tsion Ketema Robele1, Simeon Mulugeta2, Goytom Knfe3
1St. Paul's hospital millennium medical college, Department of Surgery, Swaziland Street, PO box 1247, Addis Ababa, Ethiopia.
Insights
Duplication of the gallbladder is a rare congenital anomaly. Careful attention to biliary anatomy is crucial during cholecystectomy to prevent complications, with preoperative imaging aiding diagnosis.
Area of Science:
- Gastroenterology
- Surgical Anatomy
- Congenital Anomalies
Background:
- Gallbladder duplication is a rare congenital anomaly of the biliary system.
- It poses an increased risk for complications, including bile duct injury during cholecystectomy.
Introduction And Importance:
Duplication of the gallbladder is a rare congenital anomaly of the biliary system and is associated with an increased risk of complications such as bile duct injury during cholecystectomy.
Case Presentation:
A 40-year-old woman was admitted for symptomatic cholelithiasis. All preoperative workups were normal, except for an abdominal ultrasound which reported of gallstones. However, during the open cholecystectomy, duplicated gallbladder was an intraoperative surprise. Both gallbladders were successfully removed, and the patient had a smooth recovery without any complications.
Clinical Discussion:
The presence of a duplicated gallbladder necessitates careful consideration of the biliary ductal and arterial anatomy anomaly to prevent complications during cholecystectomy. While ultrasound is typically used as an initial diagnostic tool for suspected duplicated gallbladder, it can miss the diagnosis of duplicated gallbladder. Laparoscopic cholecystectomy is the preferred method of treatment in an ideal surgical setting.
Conclusion:
Duplication of the gallbladder requires special attention to the biliary ductal and arterial anatomy. Preoperative imaging should be helpful for diagnosis.
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