Duplicate Gallbladder: Overview and Management Challenges

Al Rawahi A, Al Azrii Y, Al Jabril S, Alfadlil A and Al Aghbaril S

Department of General Surgery, Hepatobiliary Surgery Unit, The Royal Hospital, Oman

^*Correspondance to: Abdulrazaq Alfadli 

 PDF  Full Text DOI: 10.25107/2474-1647.1016

Abstract

Gallbladder (GB) anomalies are rare clinical diagnosis of biliary tract diseases. We present a case of a 42 years old female who presented with a 6 years history of intermittent right upper quadrant abdominal pain with occasional nausea and vomiting, diagnosed to have a duplicate gallbladder. Her basic blood investigations including liver function tests were within normal. Preoperative abdominal ultrasound (US) and computed tomography (CT) showed a non-enhancing lobulated cystic lesion in segment V with extension reaching the gallbladder. Thin sliced magnetic resonant cholangiopancreaticography (MRCP) was done and showed multilobular cystic lesion communicating with the biliary tree most likely representing a duplicate gallbladder. The nature of the condition was explained to the patient and informed consent was obtained. She underwent successful laparoscopic cholecystectomy. The operative challenges were more than those anticipated at the usual laparoscopic gallbladder procedures. After six months follow up the patient remained asymptomatic. In summary, gallbladder anomalies should be anticipated in the presence of cystic lesions reported around the gallbladder. The laparoscopic cholecystectomy remains the gold standard approach for intervention and these cases should be done by an experienced laparoscopic surgeon.

Keywords

Accessory gallbladder; Bilobed gallbladder; Gallbladder duplication; Laparoscopic cholecystectomy

Cite the article

Al Rawahi A, Al Azrii Y, Al Jabril S, Alfadlil A, Al Aghbaril S. Duplicate Gallbladder: Overview and Management Challenges. Clin Surg. 2016; 1: 1016.