Unsuspected Duplicated Gallbladder in a Patient Presenting with Acute Cholecystitis.
10.3346/jkms.2017.32.3.552
- Author:
Woohyung LEE
1
;
Dae Hyun SONG
;
Jin Kwon LEE
;
Ji Ho PARK
;
Ju Yeon KIM
;
Seung Jin KWAG
;
Taejin PARK
;
Sang Ho JEONG
;
Young Tae JU
;
Eun Jung JUNG
;
Young Joon LEE
;
Soon Chan HONG
;
Sang Kyung CHOI
;
Chi Young JEONG
Author Information
1. Department of Surgery, Gyeongsang National University Hospital, Gyeongsang National University Postgraduate School of Medicine, Jinju, Korea. drjcy@hanmail.net
- Publication Type:Case Report
- Keywords:
Duplicated Gallbladder;
Cholecystitis;
Cholecystectomy;
Laparoscopy
- MeSH:
Abdominal Pain;
Aged, 80 and over;
Arteries;
Bile Ducts;
Cholecystectomy;
Cholecystectomy, Laparoscopic;
Cholecystitis;
Cholecystitis, Acute*;
Common Bile Duct;
Cystic Duct;
Emergency Service, Hospital;
Gallbladder*;
Hepatic Duct, Common;
Humans;
Laparoscopy;
Neck;
Patient Rights;
Surgeons
- From:Journal of Korean Medical Science
2017;32(3):552-555
- CountryRepublic of Korea
- Language:English
-
Abstract:
Duplicated gallbladder (GB) is a rare congenital disease. Surgical management of a duplicated GB needs special care because of concurrent bile duct anomalies and the risk of injuring adjacent arteries during surgery. An 80-year-old man visited an emergency room with right upper quadrant abdominal pain. Computed tomography (CT) revealed cholecystitis with a 2-bodied GB. Because of this unusual finding, magnetic resonance choledochopancreatography was performed to detect possible biliary anomalies. The 2 GB bodies were unified at the neck with a common cystic duct, a so-called V-shaped duplicated GB. The patient's right posterior hepatic duct joined the common bile duct (CBD) near the cystic duct. The patient underwent laparoscopic cholecystectomy without adjacent organ injury, and was discharged uneventfully. Surgeons should carefully evaluate the patient preoperatively and select adequate surgical procedures in patients with suspected duplicated GB because of the risk of concurrent biliary anomalies.
