scholarly journals Bilobed gallbladder: a rare congenital anomaly of the biliary system

Author(s):  
Pradeep Kumar Roul ◽  
Aditi Saini ◽  
Srishti Agarwal ◽  
Prashant Kumar Verma ◽  
Anjum Syed

Duplication of the gallbladder is a rare congenital anomaly, which Boyden first illustrated in 1926. No additional risk of cholelithiasis or malignancy with this congenital anomaly was documented. However, this congenital anomaly is associated with more risk for complications during and after laparoscopic cholecystectomy. So, preoperative diagnosis is essential in identifying anatomical abnormalities to avoid biliary injuries at the time of surgery or the performance of an incomplete operation. The removal of an asymptomatic double gallbladder remains controversial. Here, we are reporting a case of the incidentally detected duplex gallbladder in a teenager and review the literature that will enrich the reader’s knowledge regarding this rare congenital anomaly.

2021 ◽  
Vol 8 (11) ◽  
pp. 3488
Author(s):  
Gurushantappa Yalagachin ◽  
Abhijit D. Hiregoudar ◽  
Ashika Bagur ◽  
Abhishek Choudhari

Double gall bladder is a rare congenital anomaly of the Hepatobiliary system with an incidence of 1:4000 due to abnormalities resulting during the embryogenesis during fourth to sixth week of gestation. Boyden was first to describe the duplication of the gallbladder and Harlaftis classification describes three types for the duplication of the gallbladder. Preoperative diagnosis of the duplication of the gallbladder has to be confirmed to minimise the complications during the surgery and post operatively. Sometimes the duplication of the gallbladder is missed preoperatively and hence increasing the risk and complications during the cholecystectomy. MRCP is the investigation of choice for preoperative diagnosis of the duplication and the laparoscopic cholecystectomy being the treatment of choice for the double gallbladder. We encountered a 25 year old girl with duplicate gallbladder who underwent laparoscopic cholecystectomy with removal of both gallbladders successfully.


Author(s):  
Dr. Anurag Mishra ◽  
◽  
Dr. Md Abu Masud Ansari ◽  
Dr. Shivanshu Misra ◽  
◽  
...  

A duplicated gallbladder is a rare congenital anomaly with an incidence of 1:4000 live births. Theycan remain asymptomatic and identified incidentally or present as acute cholecystitis, empyema,torsion, cholecystoenteric fistula, Gall bladder lump, or carcinoma. Here the current case is aboutdiscussing a case of a 25-year-old female who presented with symptomatic gallstone disease with aduplicated gallbladder having multiple stones in both the gallbladders. MRCP performedpreoperatively revealed Y type duplication (double Gall bladder with common cystic duct).Laparoscopic cholecystectomy was performed and it finally revealed H type duplication (double Gallbladder with separate cystic ducts for each Gall Bladder).


2018 ◽  
Vol 87 (5-6) ◽  
Author(s):  
Jošt Kokalj ◽  
Yasmin Marianna Hunt

Double gallbladder is a rare congenital anomaly, which can present a challenge for the surgeon who performs laparoscopic cholecystectomies. The common first-line modality for screening in symptomatic gallbladder pathology is still ultrasonography, even though the accuracy is low. Preoperative diagnosis of this anomaly is not common as it is available in only 50 % of cases. Preoperative diagnosis and being acquainted with this anomaly decrease the possibility of injury to the biliary tract, the number of postoperative complications and the possible need for further surgical procedures.We present a case of double gallbladder which was diagnosed during the operative procedure. Based on ultrasonography screening, which showed a gall-stone in an unchanged gallbladder, a laparoscopic gallbladder removal was indicated. Despite the finding of a double gallbladder, the performance of laparoscopic gallblade removal was uneventful.


2020 ◽  
Vol 7 (10) ◽  
pp. 3516
Author(s):  
Kaptan Singh ◽  
Atul S. Joshi ◽  
Agrawal K. Khemchand ◽  
Hariom Sheoran ◽  
Priti Rabadiya ◽  
...  

Septate gallbladder is a rare congenital anomaly, which can present a challenge for the surgeon who performs laparoscopic cholecystectomy. The common first line modality for screening in symptomatic gallbladder pathology is still ultrasonography. Preoperative diagnosis of this anomaly is not common. Pre- operative diagnosis and being acquainted with this anomaly decreases the possibility of injury to the biliary tract, the number of postoperative complications and the possible need for further surgical procedures. We present a case of septate gallbladder, which was diagnosed during the operative procedure. Despite the finding of a septate gallbladder, the performance of laparoscopic cholecystectomy was uneventful.


2010 ◽  
Vol 2010 ◽  
pp. 1-6 ◽  
Author(s):  
Masahiro Kawanishi ◽  
Yukio Kuwada ◽  
Yutaka Mitsuoka ◽  
Shogo Sasao ◽  
Teruo Mouri ◽  
...  

Double gallbladder is a rare congenital biliary anomaly, but an accessory gallbladder arising from the left hepatic duct is a more remarkably rare congenital anomaly. We report a case of double gallbladder with adenocarcinoma and gallstones, which was preoperatively diagnosed by endoscopic retrograde cholangiopancreatography (ERCP) and then confirmed by open laparotomy. A review of the literature is presented.


2019 ◽  
Vol 3 (1) ◽  
pp. 01-03
Author(s):  
Víctor Serrats

The gallbladder hypoplasia is a rare congenital anomaly. We present a case of a 38-year-old man who was referred to us for surgical management of gallbladder disease. The patient presented abdominal pain compatible with repeating biliary colic as the first clinical manifestation. Preoperatively, the magnetic resonance cholangiopancreatography imaging was useful to study thoroughly the biliary tract in order to avoid any iatrogenic injury. Intraoperatively, laparoscopy revealed a rudimentary gallbladder and the histopathological examination confirmed the diagnosis of hypoplasic gallbladder. Laparoscopic cholecystectomy was successful and the patient did not present abdominal pain again.


2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Esin Kabul Gürbulak ◽  
Hamdi Özşahin ◽  
Yiğit Düzköylü ◽  
Ismail Ethem Akgün ◽  
Muharrem Battal ◽  
...  

Duplication of the gallbladder is a rare congenital anomaly of the gallbladder, with an estimated prevalence of 1–3 per 3800 individuals. Unless properly diagnosed preoperatively, it can lead to biliary tract injuries and postoperative complications which may require reoperative surgeries. While previously reported cases have been treated with conventional laparoscopic cholecystectomy (LC), treatment with single incision laparoscopic surgery (SILS) has not been reported yet. We herein present the case of a 58-year-old female with gallbladder duplication who was successfully treated with SILS cholecystectomy.


2015 ◽  
Vol 116 (1) ◽  
pp. 52-56 ◽  
Author(s):  
Oktay Yener ◽  
Mehmet Zeki Buldanlı ◽  
Hayati Eksioglu ◽  
Metin Leblebici ◽  
Orhan Alimoglu

Gallbladder agenesis (GA) is a rare congenital anomaly of the biliary system often associated with other congenital abnormalities. Patients become symptomatic in 23% of cases (Richards et al., 1993). GA is often misinterpreted as other diseases, therefore, leading to unnecessary surgery. Many of these patients develop a typical symptomatology of cholelithiasis that leads them to operating theatre. If an operative procedure is done, it is better to remain at the level of laparoscopy because further surgical investigation may lead to detrimental biliary tract injuries (Waisberg et al., 2002). We present a case of GA, diagnosed by magnetic resonance with cholangiopancreatography.


Author(s):  
Fleur Berbers ◽  
Suzanne Van Leuven ◽  
Ton K.C.A. Van Engelenburg ◽  
Richard P.G. Ten Broek

Situs inversus is a rare congenital anomaly, characterized by transposition of the large organs. Although the anomaly is generally without symptoms, it can cause difficulties in the diagnostic process. We present the case of 44-year old man presenting with acute cholecystitis. The patient underwent successful laparoscopic cholecystectomy, from which he recovered uneventful. Performing a laparoscopic cholecystectomy in a patient with situs inversus can be technically more demanding and requires re-orientation from the surgeon.


2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Jai P. Singh

Introduction. Duplication of the gallbladder is a rare congenital anomaly of the biliary system. Anomalous anatomy of the biliary system is associated with an increased risk of complications such as bile duct injury during cholecystectomy. Herein, I present a case report of duplication of the gallbladder, which was an operative surprise as the patient’s preoperative workup did not reveal any evidence of duplication of the gallbladder. Case Report. A 60-year-old female was admitted for management of recurrent pancreatitis. Diagnosis of biliary pancreatitis was made as her CT and US revealed cholelithiasis. During laparoscopic cholecystectomy, she was found to have duplication of the gallbladder, which was a surgical surprise. Both the gallbladders were successfully removed, and the patient had an uneventful postoperative course. Conclusion. Duplication of the gallbladder is a rare congenital anomaly, which could be associated with other congenital anomalies of the bile duct and vascular system. Extreme care should be taken during cholecystectomy as these anomalies could lead to serious injury to the bile duct and vessels.


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