Congenital gallbladder duplication: Preoperative diagnosis by ultrasonography

Diaz, Michael; Fowler, Wyatt C.; Hnatow, Brenda J.

doi:10.1007/bf01887345

Cited by 25 publications

(17 citation statements)

References 10 publications

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“…Se trata de una patología que no posee síntomas específicos, y las alteraciones no son más frecuentes que en pacientes con vesícula única 4,5 . Por lo tanto, la frecuencia de entidades patológicas es similar, siendo la colelitiasis la complicación más frecuente, pudiendo desarrollarse tanto en una como en ambas vesículas 6,7 . Por otro lado, la duplicación de la vesícula biliar no se asocia a la presencia de otras anomalías del desarrollo 2 .…”

Section: Discussionunclassified

Duplicación de la vesícula biliar

2017

Rev. chil. radiol.

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IntroducciónLa duplicación de la vesícula biliar es una anomalía rara del desarrollo, con una incidencia reportada de aproximadamente un caso en 4.000 autopsias 1 .Las anomalías congénitas y las variaciones anatómicas de la vesícula y vías biliares se asocian con un mayor riesgo de complicaciones en la colecistectomía laparoscópica, sobre todo relacionadas con lesiones iatrogénicas de la vía biliar. Por esto el estudio preoperatorio con imágenes juega un rol importante en su pesquisa, permitiendo al cirujano realizar una adecuada planificación quirúrgica.A continuación, se presenta el caso de una paciente con duplicación de vesícula biliar diagnosticada por colangiorresonancia. Caso clínicoPaciente mujer, de 66 años, consulta en el Servicio de Urgencia por un cuadro de tres días de evolución de dolor abdominal epigástrico, tipo cólico, asociado a la coloración amarilla de las escleras. Al examen físico se encontraba levemente deshidratada, ictérica, taquicárdica (148 lpm), temperatura 37,6 o C, normotensa. El abdomen se describió como levemente distendido, blando, depresible, sensible a la palpación en el hipocondrio derecho, con el signo de Murphy García N., et al. Duplicación de la vesícula biliar. Rev Chil Radiol 2017; 23(1): 41-44

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Section: Discussionunclassified

Duplicación de la vesícula biliar

2017

Rev. chil. radiol.

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“…US may diagnose gallbladder Licensed Under Creative Commons Attribution CC BY duplication if the viscera are located separately. Some criteria have been defined to diagnose gallbladder duplication on US examination in limited case reports [19][20][21][22]. Although US findings may suggest a double gallbladder, the cystic duct is usually not identified.In our case it was suggested by US it might be a cystic lesions of pancreas.…”

Section: Discussionmentioning

confidence: 99%

Duplication of the Gallbladder Associated with Choledocal Cyst: A Case Report

2016

IJSR

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Introduction: Gallbladder duplication is a rare anatomic malformation, which can now be detected by preoperative imaging study. Case presentation: This is a retrospective case report of 39-year-old woman presented during a routine US (ultrasonography) examination complaining intermittent abdominal pain in the upper right quadrant. Laboratory examinations found normal values of total bilirubin, transaminases and alkaline phosphatase. US examination of the right upper quadrant was performed. It was noticed that the gallbladder was duplicated, but there were no distended wall thickening or presence of gallstone. A cystic lesion was noticed that was firstly identified as a pancreatic cyst. The MR cholangiography showed duplicated gallbladder with two cystic ducts and a choledochal cyst. Conclusion: Duplication of the gallbladder is a rare congenital abnormality, which requires special attention to the biliary ductal and arterial anatomy. Laparoscopic cholecystectomy with intraoperative cholangiography seems to be the appropriate treatment.

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“…Double gallbladder has been reported in the literature as a rare congenital abnormality [1][2][3][4][5][6][7][8][9][10][11] and its incidence is about one in 4,000 patients [4]. Only about 213 cases of double gallbladder have been reported [8].…”

Section: Discussionmentioning

confidence: 99%

Experience with laparoscopic double gallbladder removal

et al. 1995

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Double gallbladder is a rare congenital anomaly and an encounter with it while performing cholecystectomy laparoscopically is a challenge to the laparoscopic surgeon. A 28-year-old man complaining of epigastric pain was evaluated at Teikyo University Hospital, Mizonokuchi, Japan. There were no abnormal laboratory findings. Ultrasonography revealed an acoustic shadow in each compartment without any inflammatory changes in the gallbladder. No lesions were endoscopically noted in the stomach. CT scan could not demonstrate the anomaly. ERCP revealed a duplication of the gallbladder shadow with a stone in each vesicle and also the confluence of two cystic ducts from both the gallbladders draining into the common bile duct (CBD). Laparoscopic cholecystectomy was performed successfully in this case. This paper presents this particular case because of double gallbladder's rarity in the literature and to emphasize the importance of preoperative cholangiographic evaluation for double gallbladder. The laparoscopic surgeon is given an idea of the meticulous dissection at the "hepatocystic triangle" due to the various other vascular and other congenital anomalies associated with it. An account of the classification of this congenital abnormality and its various types is also discussed here.

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Congenital gallbladder duplication: Preoperative diagnosis by ultrasonography

Cited by 25 publications

References 10 publications

Duplicación de la vesícula biliar

Duplicación de la vesícula biliar

Duplication of the Gallbladder Associated with Choledocal Cyst: A Case Report

Experience with laparoscopic double gallbladder removal

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