Laparoscopic cholecystectomy for triple gallbladder

Abstract

A very rare case involving true triplication of the gallbladder in a 38-year-old man with no other congenital abnormalities is reported. All three gallbladders had signs of chronic inflammatory disease and lithiasis. Acute cholecystitis and a double gallbladder were diagnosed preoperatively, but the diagnosis of a second accessory gallbladder was made only at the time of surgery. The patient underwent successful laparoscopic cholecystectomy. When a triplicate gallbladder is encountered, complete dissection of Calot's triangle and intraoperative cholangiographic evaluation should be performed to prevent damage to the biliary duct system. All three gallbladders should be removed to avoid unnecessary reoperation. All of this can be accomplished readily by laparoscopic surgery.

Variations of the gallbladder in sudanese subjects with literature review

“…[6,7] GBs either open by a single duct [3,6] or by separated ducts [5,7] into the common hepatic duct. Similar to what present in the previous work, Schroder and Dreper [8] have reported a double GB, but during operation of a patient, a third one was found. Oyar and Yesilday [9] described a bilobed GB with a single neck.…”

Complicated triple gallbladder: clinical presentation and surgical approach

“…Some authors favour open cholecystectomy because of the variable anatomy 20. If a laparoscopic approach is undertaken, intraoperative cholangiography is recommended 12 13 5Learning points

Congenital anomalies of the gallbladder can be classified based on size, location and number.

Triple gallbladder occurs when rudimentary bile ducts fail to regress during embryological development and form accessory gallbladders.

Multiple gallbladders are often associated with pathological conditions such as cholecystitis or carcinoma.

The presence of multiple gallbladders is rare, but clinicians must be aware of this anomaly, as all gallbladders should be removed, either via open or laparoscopic surgery.

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

“…Simultaneaous removal of both gallbladders at surgery is recommended to avoid cholecystis and symptomatic gallstones in the remaining organ [3,9]. Several publications reported successful laparoscopic cholecystectomy for a duplicate gallbladder [3,4,[9][10][11][12][13][14][15][16][17].Schroeder and Draper reported a successful laparoscopic cholecystectomy for a tripe gallbladder [18]. Because there does not seem to be a significantly increased risk for subsequent disease, prophylactic cholecystectomy in an asymptomatic patient with gallbladder duplication is not recommended [3].…”