Sonography of gallbladder duplication and differential considerations

Goiney, R C; Schoenecker, S A; Cyr, D R; Shuman, W P; Peters, ME; Cooperberg, P L

doi:10.2214/ajr.145.2.241

Cited by 51 publications

(37 citation statements)

References 4 publications

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“…When symptoms do occur, gallbladder duplication may go unappreciated due to the rare nature of the anomaly or the insensitivity of diagnostic testing. Diagnosis of DG may be mistaken for more common problems such as folded gallbladder, pericholecystic fluid, gallbladder diverticulum, Phrygian cap, vascular band, or focal adenomyomatosis [9,13] .…”

Section: Discussionmentioning

confidence: 99%

Duplicated gallbladder with obstructive jaundice: a case report with video

Ghaderi¹,

Flanagan²,

Bhansali³

et al. 2018

MIS

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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.

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Section: Discussionmentioning

confidence: 99%

Duplicated gallbladder with obstructive jaundice: a case report with video

Ghaderi¹,

Flanagan²,

Bhansali³

et al. 2018

MIS

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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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“…Consequently, definitive diagnosis of duplication can be made only if disease or stones are confined to one organ. The differential diagnosis for two cystic structures in the gallbladder fossa without definable cystic ducts should also include compartmentalization due to gallbladder folding, focal adenomyomatosis, phrygian cap, intraperitoneal fibrous (Ladd's) bands, choledochal cyst, pericholecystic fluid, and gallbladder diverticula [5].…”

Section: Discussionmentioning

confidence: 99%