Surg Laparosc Endosc Percutan Tech ; Gallbladder duplication successfully removed laparoscopically using endoscopic nasobiliary tube. Double gallbladder: A laparoscopic management. Duplicate gallbladder diagnosed with endoscopic retrograde cholangiopancreatography and treated with laparoscopic cholecystectomy.
Dig Endosc ; Related articles Biliary anomaly double gall bladder gall bladder duplication. Access Statistics. Case Report. However, the exact incidence of this rare anomaly cannot be accurately assessed, since the only cases which can be identified are those that became symptomatic or were encountered as incidental findings during laparotomy, imaging studies or at autopsy. Duplication of the gallbladder can be classified into 2 main types Fig.
The first is the bi-lobed gallbladder Vesica fellea divisum , where a longitudinal septum or invaginating cleft separates the lumen into 2 chambers. In these cases, both gallbladders share a common embryological origin primordium.
The second is the double gallbladder Vesica fellea du-plex , where there are 2 separate gallbladders with their own cystic ducts. In these cases, we have to accept a double embryological origin dual primordium. In our case, the gallbladder consisted of 2 separate chambers, which were connected through a narrow ostium. Both chambers shared a common cystic artery but the second chamber appeared to have a second narrow cystic duct, which drained to the right hepatic duct.
We believe that the presence of the ostium between the 2 chambers may have led to the progressive obliteration of the draining cystic duct of the second chamber.
Differential diagnosis includes gallbladder diverticula, gallbladder fold, Phrygian cap, choledocal cyst, pericholecystic fluid, focal adenomyomatosis, and intraperitoneal fibrous bands Fig. The clinical significance associated with a duplicated gallbladder is similar to those encountered in a single gallbladder.
This includes acute or chronic cholecystis, cholelithiasis, empyema, torsion, cholecystocolic fistula, and carcinoma. There are no specific symptoms attributable to a double gallbladder. Simultaneous removal of both gallbladders at surgery is recommended to avoid cholecystis and biliary colic in the remaining organ. No consent obtained as the patient has demised two years later. Boyden, The accessory gallbladder: an embryological and comparative study of aberrant biliary vesicles occurring in man and the domestic mammals, Am.
Goel, K. Srivastava, A. Rana, Double gall-bladder-a laparoscopic management, Surg. Gross, Congenital anomalies of the gallbladder: a review of the literature and a report of a case associated with hepatic duct carcinoma, Arch.
Wani, G. Kolte, V. Rathod, A. Bhole, A cholelithiasic double gallbladder, J. Papaziogas, C. Lazaridis, G. Paraskevas, J. This can cause symptoms such as: sudden and intense tummy pain feeling and being sick yellowing of the skin and the whites of the eyes jaundice Very occasionally it may be possible to take tablets to dissolve gallstones, but surgery to remove the gallbladder is the most effective treatment in the vast majority of cases.
What happens during gallbladder removal surgery There are 2 main ways of removing a gallbladder: laparoscopic keyhole cholecystectomy — several small cuts incisions are made in your tummy abdomen and fine surgical instruments are used to access and remove your gallbladder open cholecystectomy — a single larger incision is made in your tummy to access and remove your gallbladder Keyhole surgery is used most often because you can leave hospital sooner, recover faster and are left with smaller scars than with an open procedure.
Find out more about how gallbladder removal surgery is performed Recovering from gallbladder removal surgery It doesn't usually take long to recover from keyhole surgery to remove your gallbladder.
Most people can leave hospital the same day or the next morning. You'll probably be able to return to most of your normal activities within 2 weeks. Find out more about recovering from gallbladder removal surgery Living without a gallbladder You can lead a perfectly normal life without a gallbladder. Find out more about diet after gallbladder surgery Risks of gallbladder removal surgery Gallbladder removal surgery is considered to be a safe procedure, but, like any type of surgery, there's a risk of complications.
Possible complications include: wound infection bile leaking into the tummy damage to one of the openings ducts carrying bile out of the liver blood clots Speak to your surgeon about the benefits and risks of surgery before your operation.
Edit article. View revision history Report problem with Article. Citation, DOI and article data. Di Muzio, B. Gallbladder duplication. Reference article, Radiopaedia. Duplicated gallbladder Double gallbladder Duplication of gallbladder Duplication of the gallbladder. URL of Article. On this page:. Abdom Imaging. Duplication of the Gallbladder.
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