Duplicated gallbladder with obstructive jaundice: a case report with video

Abstract

A 38-year-old male presented with painful obstructive jaundice. Ultrasound showed biliary dilatation and a duplicated gallbladder (DG). Magnetic resonance cholangiopancreatography (MRCP) imaging confirmed the diagnosis of DG and raised the suspicion of a stricture in the distal common bile duct. Endoscopic retrograde cholangiogram, sphincterotomy with small stone extraction, and biliary stent placement were accomplished, and the patient was transferred to our tertiary center. Given the report of a stricture, endoscopic retrograde cholangiopancreatography (ERCP) was repeated and showed no duct narrowing or persistent choledocholithiasis, but only one cystic duct and gallbladder filled. The patient subsequently underwent laparoscopic cholecystectomy using top-down technique with complete resection of both gallbladders. Postoperatively, the patient underwent another ERCP for elevated bilirubin due ampullary edema. Subsequently, his bilirubin normalized and he was discharged home on postoperative day 5. DG is a rare anatomical finding that may be associated with choledocholithiasis and cholecystitis. In this case, a combination of radiographic, endoscopic and laparoscopic procedures was utilized to resolve the patient's clinical problem.

Incidental adenocarcinoma of the gallbladder in a patient with Y insertion gallbladder duplication in the context of recurrent biliary colic

“…Less common are the septate of bilobed variants in which a single cystic duct is shared. These represent approximately 10% and 9%, respectively [13] …”

“…These represent approximately 10% and 9%, respectively. [13] Despite being the most common malignancy of the biliary tree and the third most common cancer of the gastrointestinal tract, cancer of the GB remains a rare neoplasm which displays notable geographic variability. [14,15] It is relatively less prevalent in developed countries like Australia, displaying an approximate incidence of 1.4 cases per 100,000 population.…”

Bilobed gallbladder discovered during laparoscopic cholecystectomy: a tale of two lobes and one duct

“… Harlaftis classification of congenital gallbladder anomalies: ( a ) septate gallbladder (10.8%) ( b ) BG (9.5%) ( c ) Y-shape (24.3%). ( d ) H or ductular (48.6%) ( e ) trabecular (2.7%) [ 6 ]. …”

A Rare Case of Duplicated Gallbladder in the United Arab Emirates

“…The initial assessment is an ultrasonographic evaluation of the gallbladder and the biliary tree due to its high sensitivity and acuity for detecting pathological findings like gallstones, cholecystitis, and anatomical variations [2,3]. Imaging differential considerations, as mentioned by Bavaresco et al In 2022, includes gallbladder diverticulum, gallbladder fold, Phrygian cap, choledochal cyst, and focal region of pericholecystic fluid [3,7,9,12].…”

“…Further preoperative evaluation is recommended if suspicious findings are found during the ultrasound [2]. Magnetic resonance cholangiopancreatography (MRCP), oral cholecystography, tomography, and hepatobiliary iminodiacetic acid (HIDA) scan can be helpful in the structural evaluation of the biliary tree [2,3,7]. This is particularly important in gallbladder duplication.…”