A case report of duplex gallbladder and review of the literature

Goh, Yan Mei; Goh, Yan Li; Ewan, LC; Turner, Paul; Lapsia, Snehal; Subar, Daren

doi:10.1016/j.ijscr.2015.07.022

Cited by 20 publications

(31 citation statements)

References 14 publications

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“…Duplication of the gallbladder is a rare congenital anomaly, ever since Blasius et al first decryption in 1675 [ 1 ] few cases have been reported [ 1 , 2 ]. It is estimated that it occurs in every one of 3400 patients [ 2 , 3 ]. This type of anomaly has not predominance over gender, age or ethnical predominance, and is commonly reported during surgical procedures and autopsies [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

“…They can appear from two origins, as split primordium or as an accessory gallbladder [ 2 , 3 ]. They can be either asymptomatic, as there are no specific symptoms attributable to a gallbladder duplication [ 4 ], or and can present with symptoms associated with cholelithiasis, cholecystitis, cholangitis or pancreatitis [ 3 , 5 ]. Surgery is the treatment of choice for symptomatic cases [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

“…They can be either asymptomatic, as there are no specific symptoms attributable to a gallbladder duplication [ 4 ], or and can present with symptoms associated with cholelithiasis, cholecystitis, cholangitis or pancreatitis [ 3 , 5 ]. Surgery is the treatment of choice for symptomatic cases [ 3 ]. We present a case of a 50-year-old female patient with a gallbladder duplication and cholecystitis in one of them.…”

Section: Introductionmentioning

confidence: 99%

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Gallbladder duplication and cholecystitis

Romero¹,

Salazar

Chandi

et al. 2018

Journal of Surgical Case Reports

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Cholecystitis is a common gallbladder pathology characterized by abdominal pain, positive Murphy sign and elevated white blood count. Abdominal ultrasound usually gives a definite diagnosis. Duplication of the gallbladder is a rare congenital anomaly that can either be asymptomatic or and can present with symptoms associated with cholelithiasis, cholecystitis, cholangitis or pancreatitis. Clinically indistinguishable from regular gallbladder pathologies. The management of duplicated gallbladder is similar to that of other gallbladder diseases, if one or both gallbladders cause symptoms, cholecystectomy should be done for both gallbladders. We present a case of a 50-year-old female patient, she presented to the emergency room with abdominal pain and tenderness. Ultrasound detected a gallbladder duplication with cholecystitis in one of them and magnetic resonance cholangiopancreatography confirmed this diagnosis. Surgery was decided and the patient underwent full recovery. Y-shaped gallbladder duplication with cholecystitis due to cholelithiasis in one of them was the final diagnosis.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Gallbladder duplication and cholecystitis

Romero¹,

Salazar

Chandi

et al. 2018

Journal of Surgical Case Reports

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show abstract

“…However, the ultrasound imaging can only exclude or document the existance of a double gallbladder but a precise diagnosis needs to differentiate the cystic ducts with their insertion in the biliary tree [ 7 ]. According to Harlaftis suggestion, when MRCP can be performed before surgery [ 8 ] the diagnosis is very useful.…”

Section: Discussionmentioning

confidence: 99%

“…The diagnosis was thereafter confirmed by ultrasound soon after birth although a precise anatomical definition was only obtained by MRCP. To our knowledge, the use of MRCP for this diagnosis has been reported in adults [ 2 , 8 ] but only in one newborn.…”

Section: Discussionmentioning

confidence: 99%

Prenatal and accurate perinatal diagnosis of type 2 H or ductular duplicate gallbladder

et al. 2018

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BackgroundDouble gallbladder is a rare biliary anomaly. Perinatal diagnosis of the disorder has been reported in only 6 cases, and in 5 of them the diagnosis was based on ultrasound imaging only. However, the ultrasound technique alone does not provide a sufficiently precise description of cystic ducts and biliary anatomy, an information that is crucial for a correct classification and for a possible future surgery.Case presentationAt 21 weeks of gestational age of an uneventful pregnancy in a 38 year old primipara mother, a routine ultrasound screening detected a biliary anomaly in the fetus suggestive of a double gallbladder. A neonatal abdominal ultrasonography performed on postnatal day 2 confirmed the diagnosis. On day 12 the newborn underwent a Magnetic Resonance Cholangiopancreatography (MRCP) that clearly characterized the anatomy of the anomaly: both gallbladders had their own cystic duct and both had a separate insertion in the main biliary duct.ConclusionsWe report a case of early prenatal suspected duplicate gallbladder that was confirmed by a neonatal precise diagnosis of a Type 2, H or ductular duplicate gallbladder, using for the first time 3D images of Magnetic resonance cholangiopancreatography in a newborn. An accurate anatomical diagnosis is mandatory in patients undergoing a possible future cholecystectomy, to avoid surgical complications or reoperations. Therefore, in case of a perinatal suspicion of a double gallbladder, neonates should undergo a Magnetic resonance cholangiopancreatography.A review of the Literature about this variant is included.Electronic supplementary materialThe online version of this article (10.1186/s12887-018-1043-9) contains supplementary material, which is available to authorized users.

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Double cholecystectomy of duplex gallbladder associated with chronic cholecystitis in a cat

Tayayouth,

Kalerum,

Girddee

et al. 2023

Veterinary Medicine & Sci

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A 6‐year‐old female neutered Persian cat presented with hyporexia and gradual weight loss over 6 months. Physical examination revealed cranial abdominal pain. Haematology and serum biochemistry were within normal limits. Abdominal ultrasonography and a computed tomography scan suggested a non‐neoplastic mass compressing the gallbladder. During an exploratory laparotomy, a duplex gallbladder with two separate cystic ducts was diagnosed intraoperatively. The mass identified using the imaging techniques was an abnormal right gallbladder which was distended with immobile mucoid bile and a thickened wall. The left gallbladder and cystic duct were grossly normal. A cholecystectomy of both gallbladders was performed. Histopathology of the right gallbladder identified chronic cholecystitis. The cat made a good recovery from surgery and reported complete resolution of its hyporexia and a return to normal body weight. This is the first report of a successful cholecystectomy of a duplex gallbladder with chronic cholecystitis of a single gallbladder.

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A case report of duplex gallbladder and review of the literature

Abstract: HighlightsWhat is already known on this topic?Duplex gallbladder is a rare congenital abnormality.What this study adds?The importance of thorough investigation to avoid missed diagnosis.Surgery is only indicated for symptomatic duplex gallbladders.

Cited by 20 publications

References 14 publications

Gallbladder duplication and cholecystitis

Gallbladder duplication and cholecystitis

Prenatal and accurate perinatal diagnosis of type 2 H or ductular duplicate gallbladder

Double cholecystectomy of duplex gallbladder associated with chronic cholecystitis in a cat

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